Q4142 — Xcm Biologic Tiss Matrix 1cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). XCM BIOLOGIC TISS MATRIX 1CM (HCPCS Q4142) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4142?code_type=HCPCS
MLA (9th ed.)
“XCM BIOLOGIC TISS MATRIX 1CM (HCPCS Q4142) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4142?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“XCM BIOLOGIC TISS MATRIX 1CM (HCPCS Q4142) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4142?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $124–$2,373 (25th–75th percentile) across 591 hospitals · 1,021 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4142 — 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
$124
$300 typical
$2,373
The middle 50% of negotiated facility rates for this procedure, measured across 591 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $300 |
| Likely subtotal | $300 |
Facility charge (no separate professional fee)
$300
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 $124–$2,373.
- 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 |
|---|---|---|---|---|---|---|---|
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Commercial | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Commercial | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | C-16 | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Commercial | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Transplant | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Commercial | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | C-16 | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $68.00 | $51.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Transplant | — | $68.00 | $51.00 | 2026-05-24 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | ProviDrs Care Network | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | Medica Prime Medicare Cost | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | MCR ADV | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Gold Choice | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Ambetter Exchange PPO | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Health Partners | Commercial PPO | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | MCR ADV HMO | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | AARP Medicare | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Medicare Advantage | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | WellCare by Allwell Medicare | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Choice Care Network | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Christian Health Aid | All Plans | — | — | — | 2026-03-06 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PB | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | FMOLAS Employee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Traditional | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | SB | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Santa Monica UNITE HERE | Commercial | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Molina Healthcare | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Heritage Provider Network (HPN) | Medicare Advantage | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | LA Care Health | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Preferred Professional Medical Corporation (IPA) of California | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Alta | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Molina Healthcare | Medicare Advantage | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Blue Shield of California | EPN | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Molina Healthcare | Exchange | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Care1st Health | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Brand New Day | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Health Net | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Heritage Provider Network (HPN) | Exchange | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Preferred Professional Medical Corporation (IPA) of California | Medicare Advantage | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Blue Shield of California | Commercial | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Preferred Professional Medical Corporation (IPA) of California | Commercial | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Care1st Health | Medicare Advantage | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | LA Care Health Plan | Exchange | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | LA Care Health PASC-SEUI | Managed Medi-Cal | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Heritage Provider Network (HPN) | Commercial | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL InpatientFacility | Alta | Medicare Advantage | — | $126.00 | $23.94 | 2026-03-26 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Blue Cross Blue Shield of North Dakota | Commercial | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | United Healthcare | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Blue Cross Blue Shield of North Dakota | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Sanford Health Plan Align | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Sanford Health Plan | Commercial/ND Pers | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Sanford Health Plan | SD Exchange Commercial | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Sanford Health Plan | Group Health/True | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Primewest | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Ucare | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Great Plains Medicare Advantage | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Health Partners | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Health Partners | Commercial | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Sanford Health Plan | SD Exchange True | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Medica | Choice | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK InpatientFacility | Aetna | Medicare Replacement | — | $52.49 | $42.00 | 2026-03-04 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Vantage Health Plan Inc. | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | First Health | AllPlans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Government Employees Health Association (Geha) | Geha | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Community | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Centene | Louisiana Healthcare Connections Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | First Health | All Plans | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Geha | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Healthy Blue Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Primewest | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Aetna | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Health Partners | Commercial | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Sanford Health Plan | SD Exchange True | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Sanford Health Plan Align | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Sanford Health Plan | SD Exchange Commercial | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Ucare | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Health Partners | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Sanford Health Plan | Group Health/True | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial/Federal | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER InpatientFacility | Great Plains Medicare Advantage | Medicare Replacement | — | $54.88 | $43.91 | 2026-03-04 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Aetna | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | BCBS-NM | Federal | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Friday Health Plan | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Humana | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Molina | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | BCBS-IL | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | BCBS-NM | Code 290 | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Blue Cross Blue Shield of Texas | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Molina | Medicaid HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | True Health New Mexico | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Presbyterian Health Plan | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Geha | Commercial | — | — | — | 2026-01-12 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Geha | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Aetna | Advantage Freedom | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Humana | HMO Gold | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Federal | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Blue Advantage | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Humana | Choice PPO | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Cigna | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | BCBS-NM | HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | BCBS-NM | GCRMC Employee | — | — | — | 2026-01-12 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Sanford Health Plan | SD Exchange Commercial | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Medica | Elect | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Blue Cross Blue Shield of North Dakota | Commercial | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Medica | Choice | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Primewest | Medicaid Managed Care | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Primewest | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Ucare | Medicaid Managed Care | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Ucare | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Aetna | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Blue Cross Blue Shield of North Dakota | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Sanford Health Plan | Commercial/ND Pers | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Health Partners | Commercial | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Health Partners | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | United Healthcare | Medicare Replacement | — | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO InpatientFacility | Sanford Health Plan | SD Exchange True | — | $57.27 | $45.82 | 2026-03-04 | 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.