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 $114–$5,177 (25th–75th percentile) across 492 hospitals · 959 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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
$114
$300 typical
$5,177
The middle 50% of negotiated facility rates for this procedure, measured across 492 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
- 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 |
|---|---|---|---|---|---|---|---|
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | US Dept of Labor WC | US Dept of Labor WC | $1.43 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | US Dept of Labor WC | US Dept of Labor WC | $1.43 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.48 | — | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.48 | — | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.48 | — | — | 2024-12-31 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Zadroga | WTC Health Program | $1.49 | — | — | 2026-02-19 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.49 | — | — | 2024-12-31 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Zadroga | WTC Health Program | $1.49 | — | — | 2026-02-19 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.49 | — | — | 2024-12-31 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | Zadroga | WTCHealthProgram | $1.49 | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Zadroga | WTCHealthProgram | $1.49 | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | Zadroga | WTCHealthProgram | $1.49 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Zadroga | WTCHealthProgram | $1.49 | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Zadroga | WTC Health Program | $1.49 | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Outpatient | Zadroga | WTCHealthProgram | $1.49 | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Zadroga | WTC Health Program | $1.49 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Zadroga | WTCHealthProgram | $1.49 | — | — | 2024-12-13 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.49 | — | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.49 | — | — | 2024-12-31 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Zadroga | WTC Health Program | $1.49 | — | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | Zadroga | WTC Health Program | $1.49 | — | — | 2026-02-19 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $10.06 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Centene | Peach State Medicaid | $10.06 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicaid | $10.06 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $10.07 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CareSource | CareSource | $10.36 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $10.84 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicaid | $10.84 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Centene | Peach State Medicaid | $10.84 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CareSource | CareSource | $11.17 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Centene | Peach State Medicaid | $11.37 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $11.37 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $11.37 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $11.37 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | United Healthcare | Medicaid | $11.38 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $11.38 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $11.38 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Anthem | Medicaid | $11.38 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Humana | Medicaid | $11.38 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $11.57 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CareSource | CareSource | $11.71 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $11.95 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $11.95 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $11.95 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $11.95 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $11.95 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $11.95 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $12.07 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Passport Molina | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Passport Molina | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $12.19 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | HEALTH NEW ENGLAND MEDICARE ADVANTAGE | HEALTH NEW ENGLAND MEDICARE ADVANTAGE | $12.27 | $44.78 | $29.11 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $12.27 | $44.78 | $29.11 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $12.31 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $12.31 | $75.45 | $75.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $12.43 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $12.43 | $75.45 | $75.45 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $12.47 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $12.48 | $75.45 | $75.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $12.48 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $12.75 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Anthem | Medicaid | $12.75 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Humana | Medicaid | $12.75 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $12.80 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $12.93 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $13.00 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $13.07 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $13.08 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $13.21 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $13.26 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicare Advantage | $13.35 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $13.48 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicare Advantage | $13.54 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna Better Health | Medicaid | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicaid | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicaid | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicaid | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $13.54 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $13.67 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicare | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicare Advantage | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $13.68 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $13.81 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Passport Molina | Medicaid | $13.81 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $13.84 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $13.84 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $13.84 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $13.84 | $125.84 | $75.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $13.84 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $13.86 | $173.28 | $103.97 | 2026-02-21 | MRF ↗ |
| The Burdett Care Center BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $14.00 | $55.98 | $36.39 | 2026-03-31 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange True | $14.02 | $53.00 | $42.40 | 2026-03-04 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Amerigroup | Amerigroup Medicare Advantage | $14.55 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $14.62 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $14.62 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $14.63 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Humana | Choice Care | $14.63 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Anthem | Medicaid | $14.63 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $14.63 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $14.69 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $14.77 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $14.77 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $14.82 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $14.82 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | BLUE CROSS - MI | BCBS MI LOCAL HMO | $14.98 | $65.15 | $42.35 | 2026-03-31 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $15.00 | $86.00 | $34.40 | 2024-12-15 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $75.45 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $15.09 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $15.10 | $125.84 | $75.50 | 2026-02-19 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $15.14 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $15.14 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $15.17 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $15.17 | $75.45 | $75.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $15.17 | $75.45 | $75.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $15.17 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $15.39 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $15.47 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $15.54 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $15.54 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $15.60 | $75.45 | $49.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $15.62 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS CONNECTORCARE | $15.67 | $44.78 | $29.11 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE | CAREPARTNERS MEDICARE ADVANTAGE | $15.67 | $44.78 | $29.11 | 2026-03-31 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange True | $15.90 | $57.27 | $45.82 | 2026-03-04 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicaid | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicare | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicare Advantage | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicaid | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicare | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Aetna Better Health | Medicaid | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicare | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $15.93 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Group Health/True | $15.98 | $53.00 | $42.40 | 2026-03-04 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicaid | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Humana | Medicare | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicaid | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $16.09 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicaid | $16.16 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $16.16 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Centene | Peach State Medicaid | $16.16 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $16.16 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Passport Molina | Medicaid | $16.25 | $79.67 | $47.80 | 2026-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $16.29 | $65.15 | $42.35 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Centene | Peach State Medicaid | $16.35 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $16.35 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Amerigroup | Amerigroup Medicaid | $16.35 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $16.36 | $125.84 | $75.50 | 2026-02-21 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PATHWAY-L | $16.41 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PATHWAY-L | $16.41 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PATHWAY-L | $16.41 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PATHWAY | $16.41 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PATHWAY | $16.41 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PATHWAY | $16.41 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PATHWAY-L | $16.41 | $90.00 | $67.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PATHWAY | $16.41 | $90.00 | $67.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PATHWAY-L | $16.41 | $90.00 | $67.50 | 2026-02-14 | 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.