Q4159 — Affinity1 Square Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Affinity1 square cm (HCPCS Q4159) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4159?code_type=HCPCS
MLA (9th ed.)
“Affinity1 square cm (HCPCS Q4159) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4159?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Affinity1 square cm (HCPCS Q4159) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4159?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $313–$1,604 (25th–75th percentile) across 1,478 hospitals · 3,103 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4159 — 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
$313
$680 typical
$1,604
The middle 50% of negotiated facility rates for this procedure, measured across 1,478 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $680 |
| Likely subtotal | $680 |
Facility charge (no separate professional fee)
$680
- 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 | None | — | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-14 | 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 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 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 ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-12 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | EMBS | PPO | $0.28 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | EMBS | PPO | $0.28 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | AETNA | EXCHANGE AFFORDABLE CARE ACT | $0.32 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA | EXCHANGE AFFORDABLE CARE ACT | $0.32 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | FLORIDA HEALTHCARE - HECN | HMO | $0.34 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | FLORIDA HEALTHCARE - HECN | HMO | $0.34 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | SUNSHINE STATE HEALTH PLAN | MEDICARE ADVANTAGE | $0.35 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | SUNSHINE STATE HEALTH PLAN | MEDICARE ADVANTAGE | $0.35 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | BLUE CROSS | SBN | $0.39 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | BLUE CROSS | SBN | $0.39 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | BLUE CROSS | HEALTH OPTIONS | $0.43 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | BLUE CROSS | BSL | $0.43 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | BLUE CROSS | BSL | $0.43 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | BLUE CROSS | HEALTH OPTIONS | $0.43 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | BLUE CROSS | PPO | $0.44 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | BLUE CROSS | PHS | $0.44 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | BLUE CROSS | BLUE OPTIONS | $0.44 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | BLUE CROSS | PPO | $0.44 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | BLUE CROSS | PHS | $0.44 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | BLUE CROSS | BLUE OPTIONS | $0.44 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | AVMED | STATE OF FLORIDA EMPLOYERS | $0.46 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | AVMED | STATE OF FLORIDA EMPLOYERS | $0.46 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | COVENTRY | ALL PRODUCTS | $0.47 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | UNITED HEALTHCARE | ALL PRODUCTS | $0.47 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | UNITED HEALTHCARE | ALL PRODUCTS | $0.47 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | CENTIVO | ALL PRODUCTS | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | FHCP | ALL PRODUCTS | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | COUNTY OF VOLUSIA CORRECTIONS | ALL PRODUCTS | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | COUNTY OF VOLUSIA CORRECTIONS | ALL PRODUCTS | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | AVMED | HMO | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | AVMED | HMO | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | FHCP | ALL PRODUCTS | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MEDICARE ADVANTAGE | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | CENTIVO | ALL PRODUCTS | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MEDICARE ADVANTAGE | $0.50 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | A&G ADMIN | ALL PRODUCTS | $0.51 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | VOLUSIA COUNTY EMPLOYEE | ALL PRODUCTS | $0.51 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | A&G ADMIN | ALL PRODUCTS | $0.51 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | VOLUSIA COUNTY EMPLOYEE | ALL PRODUCTS | $0.51 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | UHC NEIGHBORHOOD HEALTH | HMO | $0.55 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | UHC NEIGHBORHOOD HEALTH | HMO | $0.55 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER InpatientFacility | AETNA | ALL PRODUCTS | $0.59 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON InpatientFacility | AETNA | ALL PRODUCTS | $0.59 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | EMPLOYERS HEALTH NETWORK | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | PRIME HEALTH SERVICES | EPO | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | DIVISION OF THE BLIND | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | EMPLOYERS HEALTH NETWORK | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | DIVISION OF THE BLIND | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | UNITED HEALTHCARE | OPTIONS PPO | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | AETNA | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | DEVOTED HEALTH | MEDICARE ADVANTAGE | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | CLAIMDOC | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | CLAIMDOC | ALL PRODUCTS | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | UNITED HEALTHCARE | OPTIONS PPO | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | DEVOTED HEALTH | MEDICARE ADVANTAGE | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | VOLUSIA | EPO | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | VOLUSIA | EPO | $0.60 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | COVENTRY | LEASED NETWORK | $0.63 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | COVENTRY | LEASED NETWORK | $0.63 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | SIM PLAN PAY | MEDICARE ADVANTAGE | $0.65 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | SIM PLAN PAY | MEDICARE ADVANTAGE | $0.65 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $0.67 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.67 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $0.67 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $0.67 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | PLOTKIN CONSULTING | ALL PRODUCTS | $0.70 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | VOLUSIA | PPO | $0.70 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | HRGI | NETWORK | $0.70 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | HRGI | NETWORK | $0.70 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | PLOTKIN CONSULTING | ALL PRODUCTS | $0.70 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | VOLUSIA | PPO | $0.70 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | EVOLUTIONS INTERNATIONAL | PPO | $0.75 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | EVOLUTIONS INTERNATIONAL | PPO | $0.75 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | SUMMIT AMERICA | ALL PRODUCTS | $0.80 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | SUMMIT AMERICA | ALL PRODUCTS | $0.80 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER InpatientFacility | EMBS | PPO | $0.85 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON InpatientFacility | EMBS | PPO | $0.85 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | MULTIPLAN | ALL PRODUCTS | $0.90 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | AMERICAS CHOICE PROVIDER NETWORK | PPO | $0.90 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | INTEGRATED HEALTH PLAN | ALL PRODUCTS | $0.90 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | MULTIPLAN | ALL PRODUCTS | $0.90 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | AMERICAS CHOICE PROVIDER NETWORK | PPO | $0.90 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | INTEGRATED HEALTH PLAN | ALL PRODUCTS | $0.90 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | — | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Molina Healthcare | Managed Medicaid | — | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Iowa Total Care | Managed Medicaid | — | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Health Partners | Medicare Advantage | — | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Humana Choice | Medicare Advantage | — | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellmark | Commercial | $0.91 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | CIGNA HEALTHSPRING | MEDICARE ADVANTAGE | $0.95 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER BothFacility | THREE RIVERS | PPO | $0.95 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON BothFacility | THREE RIVERS | PPO | $0.95 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | CIGNA HEALTHSPRING | MEDICARE ADVANTAGE | $0.95 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.97 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Cigna | Commercial | $0.98 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Midlands Choice | Commercial | $0.98 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Aetna Coventry | Commercial | $0.98 | $1.00 | $1.00 | 2025-05-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | AMERICAS CHOICE PROVIDER NETWORK | MEDICARE ADVANTAGE | $1.00 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.00 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $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 DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.00 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AMERICAS CHOICE PROVIDER NETWORK | MEDICARE ADVANTAGE | $1.00 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $1.05 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MANAGED MEDICAID | $1.05 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MANAGED MEDICAID | $1.05 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | SIMPLY HEALTHCARE PLANS | MANAGED MEDICAID | $1.05 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $1.05 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | SIMPLY HEALTHCARE PLANS | MANAGED MEDICAID | $1.05 | $1.00 | $0.80 | 2025-07-23 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.39 | $770.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.39 | $770.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.39 | $770.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.78 | $990.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.78 | $990.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.78 | $990.00 | — | 2024-12-31 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $2.22 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $2.22 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $2.22 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $2.22 | — | — | 2025-04-16 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.57 | $1,426.00 | — | 2025-12-31 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Payor | $2.70 | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Absolute Total Care | Managed Medicaid | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Celtic | Exchange | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Aetna Healthcare | Commercial HMO/PPO | $2.84 | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | OccuNet | Provider Alliance | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Aetna Healthcare | Medicare Advantage/QHP/Exchange | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | PHCS/Multiplan | Commercial | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Molina | Medicare Advantage/Dual | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | MME | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | All Payor | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Molina | Exchange | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Options PPO | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage/VACCN | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | WellCare | Medicare Advantage | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Devoted Health | Medicare Advantage | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage/Dual | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Select Health | Medicare Advantage/Dual | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Select Health | Managed Medicaid | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Liberty Advantage | Medicare Advantage | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice HMO | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | State Health Plan | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Options | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Essentials | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage/Dual | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Options PPO | $3.10 | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $3.24 | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | PHCS/Multiplan | Commercial | $3.60 | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.83 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.83 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.83 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.93 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.04 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.14 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.97 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.97 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Managed Medicare | $5.00 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Managed Medicare | $5.00 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Aetna | Managed Medicare | $5.00 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.07 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.07 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.07 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $5.07 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.17 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.28 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.38 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.59 | $1,035.00 | $983.25 | 2026-02-20 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.69 | $3,162.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.70 | $3,720.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.70 | $3,720.00 | — | 2024-12-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Centene | All Commercial Products | $7.50 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | All Commercial Products | $7.50 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Centene | Signature | $7.50 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | Signature | $7.50 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | All Commercial Products | $7.50 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Centene | Signature | $7.50 | $25.00 | $20.00 | 2025-11-21 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.62 | $2,328.75 | $2,212.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $8.62 | $2,328.75 | $2,212.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.62 | $2,328.75 | $2,212.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.85 | $2,328.75 | $2,212.31 | 2026-02-20 | 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.