Q4147 — Architect Ecm Px Fx 1 Sq Cm
Cite this view
HANK Price Transparency. (n.d.). Architect ecm px fx 1 sq cm (HCPCS Q4147) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4147?code_type=HCPCS
“Architect ecm px fx 1 sq cm (HCPCS Q4147) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4147?code_type=HCPCS. Accessed .
“Architect ecm px fx 1 sq cm (HCPCS Q4147) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4147?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $133–$1,415 (25th–75th percentile) across 875 hospitals · 627 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4147 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-14 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-14 | MRF ↗ |
| 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 ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.56 | — | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.56 | — | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.56 | — | — | 2024-12-31 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Zadroga | WTC Health Program | $12.67 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | Zadroga | WTCHealthProgram | $12.67 | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Zadroga | WTC Health Program | $12.67 | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | Zadroga | WTCHealthProgram | $12.67 | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | Zadroga | WTC Health Program | $12.67 | — | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Zadroga | WTCHealthProgram | $12.67 | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Zadroga | WTC Health Program | $12.67 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Zadroga | WTC Health Program | $12.67 | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Outpatient | Zadroga | WTCHealthProgram | $12.67 | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Zadroga | WTCHealthProgram | $12.67 | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Zadroga | WTC Health Program | $12.67 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Zadroga | WTCHealthProgram | $12.67 | — | — | 2024-12-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.71 | — | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.71 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.71 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $12.71 | — | — | 2024-12-31 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $19.42 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $19.42 | — | — | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $20.59 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $20.59 | — | — | 2024-10-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $32.56 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $32.56 | — | — | 2026-05-06 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $35.08 | — | — | 2026-03-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $39.42 | — | — | 2025-09-05 | MRF ↗ |
| AURORA MEDICAL CENTER - SUMMIT OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER KENOSHA OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Aetna | All | $45.70 | — | — | 2026-03-29 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $45.70 | — | — | 2025-08-01 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | PHCS | All | — | — | — | 2026-03-29 | MRF ↗ |
| Aurora Medical Center - Fond du Lac OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Rocky Mountain Health Plan | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | United Healthcare | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | CoFinity | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Tricare | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA PSYCHIATRIC HOSPITAL OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER - SUMMIT OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CTR WASHINGTON COUNTY OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Blue Cross | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA MEDICAL CENTER MOUNT PLEASANT OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Meritain | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | UMR | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA BAYCARE MEDICAL CTR OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| WEST ALLIS MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| WEST ALLIS MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | First Health | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA BAYCARE MEDICAL CTR OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER BAY AREA OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CTR MANITOWOC COUNTY OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Aetna | Medicare Advantage | $45.70 | — | — | 2026-02-13 | MRF ↗ |
| Aurora St. Luke's South Shore OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER - SUMMIT OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA LAKELAND MEDICAL CENTER OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER BAY AREA OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CTR MANITOWOC COUNTY OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| Aurora Sinai Medical Center of Aurora Health Care Metro OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| Aurora Sinai Medical Center of Aurora Health Care Metro OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | VA | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA MEDICAL CTR OSHKOSH OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Cigna | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA MEDICAL CENTER KENOSHA OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Humana | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Multiplan | All | — | — | — | 2026-03-29 | MRF ↗ |
| AURORA PSYCHIATRIC HOSPITAL OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEMORIAL HOSPITAL BURLINGTON OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| AURORA MEDICAL CENTER OutpatientFacility | Aetna | HMO | $45.70 | — | — | 2025-11-21 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $46.28 | — | — | 2025-09-11 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $46.28 | — | — | 2025-06-28 | MRF ↗ |
| Pam Specialty Hospital Of San Antonio Medical Cen InpatientFacility | Aetna | All Plans | $46.85 | — | — | 2025-09-11 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-12 | MRF ↗ |
| Post Acute Medical Specialty Hospital Of Texarkana InpatientFacility | Aetna | Commercial | $46.85 | — | — | 2025-09-11 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Healthcare - All Payer - Tmsh | $46.85 | — | — | 2026-04-01 | MRF ↗ |
| Pam Specialty Hospital Of San Antonio Medical Cen InpatientFacility | Aetna | All Plans | $46.85 | — | — | 2025-09-11 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Aetna | MM | $46.85 | — | — | 2026-01-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-03 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-03 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-03 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-03 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-03 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $47.42 | — | — | 2026-03-05 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Both | Aetna | HMO/PPO | $47.42 | — | — | 2026-05-12 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | $47.42 | — | — | 2026-03-04 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Indiana | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | MHS | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | MDWise | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | United Healthcare of Indiana | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $48.19 | — | — | 2025-03-27 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Healthy Options | — | — | — | 2026-03-30 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $48.56 | — | — | 2026-03-27 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Dept of Labor and Industry - Washington State | All | — | — | — | 2026-03-30 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER OutpatientFacility | Premera Blue Cross | WashingtonAlaska HE | $48.56 | — | — | 2026-03-29 | 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.