Q4152 — Dermapure 1 Square Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Dermapure 1 square cm (HCPCS Q4152) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4152?code_type=HCPCS
MLA (9th ed.)
“Dermapure 1 square cm (HCPCS Q4152) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4152?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Dermapure 1 square cm (HCPCS Q4152) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4152?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $97–$665 (25th–75th percentile) across 1,301 hospitals · 1,547 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4152 — 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
$97
$203 typical
$665
The middle 50% of negotiated facility rates for this procedure, measured across 1,301 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $203 |
| Likely subtotal | $203 |
Facility charge (no separate professional fee)
$203
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 $97–$665.
- 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $642.05 | $321.02 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $642.05 | $321.02 | 2024-12-15 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | AmeriHealth | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Humana | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Braven Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellpoint | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | AmeriHealth | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | AmeriHealth | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Clover Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Clover Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Humana | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Healthspring | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellpoint | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Healthspring | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Better Health | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellpoint | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Independence Blue Cross | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Healthspring | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Ambetter | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Ambetter | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Wellpoint | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Braven Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna Better Health | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Clover Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Clover Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Ambetter | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Ambetter | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Humana | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Braven Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Healthspring | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Braven Health | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Independence Blue Cross | Commercial | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Better Health | Managed Medicaid | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna | HMO_PPO | — | $247.19 | $123.60 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $247.19 | $123.60 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Oscar | HMO | — | $247.19 | $123.60 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna | Exchange | — | $247.19 | $123.60 | 2024-12-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | United Healthcare | Uhc | — | $78.75 | $47.25 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Va | Va (Mcr) | — | $78.75 | $47.25 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Web Tpa | Web Tpa | — | $78.75 | $47.25 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Aetna | Aetna | — | $78.75 | $47.25 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Cigna | Cigna | — | $78.75 | $47.25 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Healthlink | Healthlink | — | $78.75 | $47.25 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $31.87 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $31.88 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $31.90 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $31.96 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan | Medicaid_HMO | $32.00 | $247.19 | $123.60 | 2024-12-15 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MCMC | $32.02 | $83.57 | $41.78 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCMC | $32.02 | $83.57 | $41.78 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $32.18 | $49.50 | $24.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $32.18 | $49.50 | $24.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $32.18 | $49.50 | $24.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $32.18 | $49.50 | $24.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $32.18 | $49.50 | $24.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $32.18 | $49.50 | $24.75 | 2026-03-23 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon NJ Health | Managed Medicaid | $32.57 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon NJ Health | Managed Medicaid | $32.57 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon NJ Health | Managed Medicaid | $32.57 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon NJ Health | Managed Medicaid | $32.57 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $32.65 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $32.65 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plans | MGMCD | $32.65 | $583.00 | $583.00 | 2026-03-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.65 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $32.65 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $32.75 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $32.80 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $32.91 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $32.91 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $32.91 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.91 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $33.00 | $306.60 | $153.30 | 2024-12-15 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $33.00 | $371.25 | $185.62 | 2026-03-21 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $33.00 | $306.60 | $153.30 | 2024-12-15 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MMMC | $33.04 | $124.69 | $62.34 | 2026-03-21 | 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 ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $33.33 | — | — | 2024-06-28 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $33.37 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $33.39 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MDMC | $33.41 | $49.50 | $24.75 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MDMC | $33.41 | $49.50 | $24.75 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MDMC | $33.41 | $49.50 | $24.75 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | $33.41 | $49.50 | $24.75 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MDMC | $33.41 | $49.50 | $24.75 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | $33.41 | $49.50 | $24.75 | 2026-03-20 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $33.50 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $33.50 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $33.50 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $33.67 | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $33.67 | — | — | 2024-10-01 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Oxford Health Plans | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Oxford Health Plans | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Oxford Health Plans | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Oxford Health Plans | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare | Commercial | $33.70 | $74.88 | $74.88 | 2026-03-24 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $34.00 | $680.00 | $680.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $34.00 | $680.00 | $680.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $34.00 | $680.00 | $680.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $34.00 | $680.00 | $680.00 | 2026-03-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $34.06 | — | — | 2026-10-12 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.10 | $135.30 | $81.18 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL OutpatientFacility | Amerigroup | Managed Medicaid | $34.10 | $135.30 | $81.18 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL OutpatientFacility | United Healthcare | Managed Medicaid | $34.10 | $135.30 | $81.18 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.29 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $34.36 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $34.46 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $34.46 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $34.46 | $340.83 | $204.50 | 2026-04-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MRMC | $34.47 | $83.57 | $41.78 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MRMC | $34.47 | $83.57 | $41.78 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MRMC | $34.47 | $83.57 | $41.78 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MRMC | $34.47 | $83.57 | $41.78 | 2026-03-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.58 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.62 | $369.82 | $221.90 | 2026-04-21 | 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.