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 $193–$1,028 (25th–75th percentile) across 1,511 hospitals · 2,249 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$193
$368 typical
$1,028
The middle 50% of negotiated facility rates for this procedure, measured across 1,511 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $368 |
| Likely subtotal | $368 |
Facility charge (no separate professional fee)
$368
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 $193–$1,028.
- 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 | — | — | — | $1,023.45 | $511.72 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,023.45 | $511.72 | 2024-12-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $18,000.00 | $13,500.00 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $18,000.00 | $13,500.00 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $18,000.00 | $13,500.00 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $18,000.00 | $13,500.00 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $3,547.50 | $2,660.63 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $3,547.50 | $2,660.63 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $3,547.50 | $2,660.63 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Optum Health | Optum Health - Medicare | — | $1,155.00 | $866.25 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | First Health - Leased/CCN | — | $1,155.00 | $866.25 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net - PPO | — | $1,155.00 | $866.25 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Kaiser | Kaiser - HMO | — | $1,155.00 | $866.25 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | Aetna - HMO/POS | — | $1,155.00 | $866.25 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $4,012.50 | $3,009.38 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $4,012.50 | $3,009.38 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - MCS | — | $9,937.50 | $7,453.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - PPO | — | $9,937.50 | $7,453.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Managed Health Network | MHN - Medicare | — | $3,243.75 | $2,432.81 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | United Healthcare | United Healthcare - Medicare | — | $3,243.75 | $2,432.81 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Molina | Molina - Exchange | — | $3,243.75 | $2,432.81 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | First Health Medicare | — | $3,243.75 | $2,432.81 | 2025-07-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | $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 | 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 | 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 | Healthsmart | Healthsmart | — | $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 | Humana | Humana Commercial | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | First Health | First Health | — | $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 | Us Marshall Services Inmate | Us Marshall Service Inmate | — | $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 | 90 Degree Benefits | South Texas Oilfield Maintenance | — | $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 | Aetna Commercial Hmo/Ppo | Aetna Commercial Hmo/Ppo | — | $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 | 90 Degree Benefits | Keating Auto Group | — | $50.00 | $25.00 | 2026-05-08 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $31.86 | $111.00 | $66.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicaid | $31.86 | $111.00 | $66.60 | 2026-03-06 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $31.86 | $176.00 | — | 2025-12-31 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | UHC COMMUNITY - MEDICAID | $32.00 | $261.00 | $229.00 | 2025-11-19 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $32.32 | $191.24 | $95.62 | 2026-03-21 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Bc/Bs Of Fl Blue Select Exchange Non Par | Bc/Bs Of Fl Blue Select Exchange Non Par | $32.35 | $199.59 | $199.59 | 2026-07-15 | MRF ↗ |
| UPMC COLE OutpatientFacility | Cigna | Medicare | $32.63 | $111.00 | $66.60 | 2026-03-06 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Indemnity | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | SHP | $32.65 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | OMNIA | $32.65 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | PPO | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | shp | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | PIP | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon BCBS | Omnia | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | SHP | $32.65 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | OMNIA | $32.65 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | HMO | $32.65 | $69.76 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | PIP | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | WORKERS COMP | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | WORKERS COMP | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | PIP | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | HMO | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | HMO | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $32.68 | $69.76 | — | 2025-12-31 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Uhc Hix | Uhc Hix | $32.70 | $136.84 | $24.63 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Uhc Health Exchange | Uhc Hix | $32.70 | $136.84 | $32.84 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $32.81 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Self Pay | Self Pay | $32.84 | $136.84 | $32.84 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $32.84 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $33.06 | $69.76 | — | 2025-12-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $33.12 | $184.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $33.12 | $184.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $33.12 | $184.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $33.12 | $184.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $33.12 | $184.00 | — | 2025-12-31 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $33.22 | — | — | 2025-12-09 | MRF ↗ |
| ST MARY'S MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $33.22 | — | — | 2025-12-09 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $33.30 | $184.00 | — | 2025-12-31 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Marketplace Program Exchange | Molina Marketplace Program Exchange | $33.33 | $199.59 | $199.59 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $33.36 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $33.36 | $69.76 | — | 2024-12-31 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $33.57 | $111.00 | $66.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP | $33.57 | $111.00 | $66.60 | 2026-03-06 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $33.61 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $33.61 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $33.61 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $33.61 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $33.72 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| UPMC COLE OutpatientFacility | Aetna | Medicare | $33.85 | $111.00 | $66.60 | 2026-03-06 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MMMC | $34.13 | $128.80 | $64.40 | 2026-03-21 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $34.18 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $34.18 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $34.18 | $69.76 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $34.18 | $69.76 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $34.18 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $34.18 | $69.76 | — | 2024-12-31 | MRF ↗ |
| PENN STATE HEALTH LANCASTER MEDICAL CENTER Both | [Aetna] | [Comm] | $34.34 | $58.00 | $16.81 | 2026-07-18 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $34.35 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | WC | $34.39 | $69.76 | — | 2024-12-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $34.49 | $420.05 | $252.03 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $34.49 | $420.05 | $252.03 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.49 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $34.49 | $420.05 | $252.03 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.49 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.49 | $350.88 | $210.53 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.49 | $420.05 | $252.03 | 2026-04-21 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER InpatientFacility | Cigna | PPO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER InpatientFacility | Cigna | HMO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER InpatientFacility | Cigna | HMO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER InpatientFacility | Cigna | HMO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER InpatientFacility | Cigna | PPO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER InpatientFacility | Cigna | HMO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER InpatientFacility | Cigna | PPO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Cigna | PPO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Cigna | HMO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER InpatientFacility | Cigna | PPO | $34.53 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | CIGNA | HMO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER BothFacility | CIGNA | PPO | $34.53 | $69.76 | — | 2025-12-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $1,641.00 | $1,230.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $1,641.00 | $1,230.75 | 2024-12-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Cigna Surefit | Cigna Surefit | $34.73 | $199.59 | $199.59 | 2026-07-15 | MRF ↗ |
| PENN STATE HEALTH LANCASTER MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $34.85 | $58.00 | $16.81 | 2026-07-18 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIGROUP | MANAGED MEDICAID | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER BothFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AMERIGROUP | MANAGED MEDICAID | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Advantage | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | HMO | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center BothFacility | AMERIGROUP | MANAGED MEDICAID | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Advantage | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Oxford | Value Based/Exchange - All Payor | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | United | HMO | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER BothFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | United | HMO | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Advantage | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER BothFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIGROUP | MANAGED MEDICAID | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon | All Products | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Oxford | Value Based/Exchange - All Payor | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER BothFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIGROUP | MANAGED MEDICAID | $34.88 | $69.76 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER BothFacility | Activecare First MCO | All Products | $34.88 | $69.76 | — | 2024-12-31 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.