Q4151 — Hc Shell Q4151, Amnioband Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Shell Q4151, Amnioband per Sq Cm (HCPCS Q4151) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4151?code_type=HCPCS
MLA (9th ed.)
“HC Shell Q4151, Amnioband per Sq Cm (HCPCS Q4151) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4151?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HC Shell Q4151, Amnioband per Sq Cm (HCPCS Q4151) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4151?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $200–$960 (25th–75th percentile) across 1,285 hospitals · 2,189 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4151 — 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
$200
$370 typical
$960
The middle 50% of negotiated facility rates for this procedure, measured across 1,285 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $370 |
| Likely subtotal | $370 |
Facility charge (no separate professional fee)
$370
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,023.45 | $511.72 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,023.45 | $511.72 | 2024-12-15 | 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 | New Business | $0.03 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.05 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.05 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.05 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.05 | $1.00 | $1.00 | 2026-03-01 | 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 | — | — | 2026-01-12 | 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 | — | — | 2026-01-14 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.13 | $69.76 | — | 2024-12-31 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.14 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.14 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | County Medical Services | County of San Diego | $0.19 | $2,246.25 | $1,684.69 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $0.24 | $3,547.50 | $2,660.63 | 2026-04-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.32 | $176.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.33 | $184.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.42 | $234.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.42 | $234.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.45 | $250.90 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.46 | $253.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.46 | $253.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.47 | $262.58 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.47 | $262.58 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.49 | $274.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.49 | $274.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.53 | $295.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.53 | $295.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.53 | $297.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.55 | $308.14 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.56 | $312.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.56 | $312.00 | — | 2025-12-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | County Medical Services | County of San Diego | $0.60 | $4,012.50 | $3,009.38 | 2026-04-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.60 | $332.57 | — | 2024-12-31 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $0.63 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.63 | $352.16 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.65 | $361.31 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.65 | $360.96 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.66 | $364.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.66 | $364.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.67 | $372.00 | — | 2024-12-31 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $0.67 | $4,012.50 | $3,009.38 | 2026-04-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $0.69 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.70 | $388.32 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.71 | $394.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.71 | $393.23 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.71 | $394.00 | — | 2025-12-31 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $0.72 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.74 | $410.86 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.76 | $421.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.76 | $421.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.80 | $443.45 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.82 | $453.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.82 | $453.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.86 | $477.92 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.86 | $475.42 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.92 | $510.68 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.96 | $533.20 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.99 | $551.25 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.99 | $551.75 | — | 2024-12-31 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER 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 ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.10 | $612.51 | — | 2025-12-31 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $1.18 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $1.18 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $1.18 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $1.18 | — | — | 2025-04-16 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $4,436.00 | — | 2025-06-28 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.10 | $1,168.92 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.24 | $1,242.11 | — | 2025-12-31 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - PPO | $2.93 | $3,600.00 | $2,700.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - Promise | $2.93 | $3,243.75 | $2,432.81 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $2.93 | $4,012.50 | $3,009.38 | 2026-04-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.61 | $2,007.88 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.80 | $2,112.96 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.80 | $2,112.96 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $4.03 | $2,239.74 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.10 | $2,280.34 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.10 | $2,280.34 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.28 | $2,375.84 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.28 | $2,375.84 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.47 | $2,483.77 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.47 | $2,483.77 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $4.53 | $2,518.39 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $4.91 | $2,725.27 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.91 | $2,725.27 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.91 | $2,725.27 | — | 2024-12-31 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - Medicare | $5.22 | $3,243.75 | $2,432.81 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | $5.29 | $3,243.75 | $2,432.81 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | $5.29 | $27,487.50 | $20,615.63 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Managed Health Network | MHN - Medicare | $5.86 | $3,600.00 | $2,700.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $8.06 | $4,012.50 | $3,009.38 | 2026-04-01 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $9.21 | $128.80 | $64.40 | 2026-03-21 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | County Medical Services | County of San Diego | $9.52 | $27,487.50 | $20,615.63 | 2026-04-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.12 | $69.76 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.45 | $5,804.27 | — | 2025-12-31 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $10.57 | $128.80 | $64.40 | 2026-03-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $10.81 | $69.76 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $10.81 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $11.23 | $69.76 | — | 2024-12-31 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $11.45 | $128.80 | $64.40 | 2026-03-21 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $11.99 | $69.76 | — | 2024-12-31 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $12.34 | $128.80 | $64.40 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $12.34 | $128.80 | $64.40 | 2026-03-21 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange True | $12.44 | $44.79 | $35.84 | 2026-03-04 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.56 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.56 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $12.56 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $12.56 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.56 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $12.56 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.56 | $69.76 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $12.56 | $69.76 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $12.56 | $69.76 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $12.56 | $69.76 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $12.63 | $69.76 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $12.63 | $69.76 | — | 2025-12-31 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $13.67 | $191.24 | $95.62 | 2026-03-21 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHPFC | $13.73 | $228.90 | $228.90 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STAR | $13.73 | $228.90 | $228.90 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARKids | $13.73 | $228.90 | $228.90 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHIP | $13.73 | $228.90 | $228.90 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARPLUS | $13.73 | $228.90 | $228.90 | 2026-05-14 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Group Health/True | $14.18 | $44.79 | $35.84 | 2026-03-04 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $14.23 | $69.76 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.23 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $14.23 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $14.37 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $14.37 | $69.76 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.58 | $69.76 | — | 2025-12-31 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $14.63 | $44.79 | $35.84 | 2026-03-04 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.65 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $14.79 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.79 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $15.21 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $15.21 | $69.76 | — | 2024-12-31 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $15.34 | $214.56 | $107.28 | 2026-03-21 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $15.35 | $69.76 | — | 2025-12-31 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $15.64 | $218.69 | $109.34 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $15.70 | $191.24 | $95.62 | 2026-03-20 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $16.18 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $16.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $16.68 | $44.79 | $35.84 | 2026-03-04 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $17.00 | $191.24 | $95.62 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $17.62 | $214.56 | $107.28 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $17.95 | $218.69 | $109.34 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $18.21 | $254.67 | $127.33 | 2026-03-21 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $18.28 | $69.76 | — | 2024-12-31 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $18.32 | $191.24 | $95.62 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $18.32 | $191.24 | $95.62 | 2026-03-21 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Health Partners | Commercial | $18.36 | $44.79 | $35.84 | 2026-03-04 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Us Marshall Services Inmate | Us Marshall Service Inmate | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna Commercial Hmo/Ppo | Aetna Commercial Hmo/Ppo | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Citizens Medical Center Health Plan | Citizens Medical Center Health Plan | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Tml Commercial Austin | Tml Commercial Austin | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Med | Share | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Med Assist | Med Assist | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Bcbs Blue Cross | Bcbs Blue Advantage Hmo | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Bcbs Blue Cross | Bcbs Blue Cross Healthselect Hmo | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Tricare East Region | Tricare East Region | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Allied | Allied | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | 90 Degree Benefits | South Texas Oilfield Maintenance | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | 90 Degree Benefits | Keating Auto Group | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Champva | Champva | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs | Phcs | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Cigna Commercial | Cigna Commercial Hmo/Ppo | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Humana | Humana Commercial | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthsmart | Healthsmart | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | First Health | First Health | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $19.07 | $214.56 | $107.28 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $19.44 | $218.69 | $109.34 | 2026-03-21 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Medica | Choice | $20.16 | $44.79 | $35.84 | 2026-03-04 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $20.23 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $20.23 | — | — | 2024-10-01 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $20.29 | $69.76 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $20.29 | $69.76 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $20.29 | $69.76 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $20.29 | $69.76 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $20.29 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $20.29 | $69.76 | — | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $509.43 | $331.13 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $509.43 | $331.13 | 2025-01-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $20.55 | $214.56 | $107.28 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $20.55 | $214.56 | $107.28 | 2026-03-21 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $20.65 | $69.76 | — | 2025-12-31 | 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.