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 $327–$1,433 (25th–75th percentile) across 1,757 hospitals · 3,302 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$327
$643 typical
$1,433
The middle 50% of negotiated facility rates for this procedure, measured across 1,757 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $643 |
| Likely subtotal | $643 |
Facility charge (no separate professional fee)
$643
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 $327–$1,433.
- 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 | — | — | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | All Payor | — | $4.00 | $1.48 | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Molina | 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 | Devoted Health | Medicare Advantage | — | $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 | United Healthcare | Medicare Advantage/VACCN | — | $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 InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $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 | Blue Cross Blue Shield | 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 | United Healthcare | Options PPO | — | $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 | United Healthcare | Managed Medicaid | — | $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 | Molina | Managed Medicaid | — | $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 | State Health Plan | — | $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 | Aetna Healthcare | Medicare Advantage/QHP/Exchange | — | $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 | Molina | 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 | Blue Cross Blue Shield | Blue Essentials | — | $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 | 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 ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $4,212.00 | $2,106.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Oscar_ | EPO | $33.00 | $1,287.72 | $515.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Oscar_ | EPO | $33.00 | $3,327.35 | $1,330.94 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | Humana | HMO/PPO | $33.00 | $3,012.00 | $1,204.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | BCBS | Select_Plus | $33.00 | $1,111.32 | $555.66 | 2024-12-15 | 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 ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Oscar_ | EPO | $34.00 | $1,111.32 | $444.53 | 2024-12-15 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $34.08 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $1,904.00 | $1,428.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $1,904.00 | $1,428.00 | 2024-12-08 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Oscar_ | EPO | $35.00 | $972.41 | $388.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Oscar_ | EPO | $35.00 | $1,014.30 | $405.72 | 2024-12-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $35.21 | $858.75 | $644.06 | 2026-07-31 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | $36.00 | $5,256.00 | $2,628.00 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Oscar_ | EPO | $36.00 | $1,530.27 | $612.11 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | $36.00 | $5,256.00 | $2,628.00 | 2024-12-15 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Regence | Medicare | — | $4,500.00 | $3,600.00 | 2026-03-26 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Regence | Medicare | — | $4,500.00 | $3,600.00 | 2026-03-26 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Health_First_Health | HMO_PPO | $36.00 | $926.10 | $370.44 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Oscar_ | EPO | $37.00 | $1,018.71 | $407.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Oscar_ | EPO | $37.00 | $1,666.98 | $666.79 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Oscar | EPO | $37.00 | $778.00 | $311.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Oscar_ | EPO | $37.00 | $1,222.45 | $488.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Oscar | Exchange | $37.00 | $1,018.71 | $407.48 | 2024-12-15 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $37.56 | $2,970.00 | $1,782.00 | 2026-01-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Caresource | Commercial | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Mdwise | Medicaid | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $37.56 | $6,116.00 | $3,669.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $37.56 | $6,116.00 | $3,669.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $37.56 | $6,797.00 | $4,078.20 | 2026-01-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medicaid | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $37.56 | $6,116.00 | $3,669.60 | 2026-01-01 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $37.56 | $2,180.00 | $2,180.00 | 2026-02-25 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Mdwise | Hip | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCAID 4/1/20 | UHC MCAID 4/1/20 | $37.56 | $2,180.00 | $2,180.00 | 2026-02-25 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE JUST4ME-ALL OTHER PLANS | CARESOURCE JUST4ME-ALL OTHER PLANS | $37.96 | $77.00 | $57.75 | 2026-03-18 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | Sunshine | Ambetter_Exchange | $38.00 | $3,012.00 | $1,204.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Sunshine | Ambetter_Exchange | $38.00 | $1,287.72 | $515.09 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | SUNSHINEXCH | Exchange | $38.00 | $1,530.27 | $612.11 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Sunshine_State_Health_Plan | Exchange | $38.00 | $3,327.35 | $1,330.94 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Oscar_ | EPO | $38.00 | $1,014.30 | $405.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | SUNSHINEXCH | Exchange | $38.00 | $1,014.30 | $405.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | SUNSHINEXCH | Exchange | $38.00 | $1,014.30 | $405.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | SUNSHINEXCH | Exchange | $38.00 | $1,666.98 | $666.79 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Sunshine | Ambetter_Exchange | $38.00 | $882.00 | $352.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | SUNSHINEXCH | Exchange | $38.00 | $1,287.60 | $515.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Sunshine | Ambetter_Exchange | $38.00 | $882.00 | $352.80 | 2024-12-15 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $38.43 | $12,079.00 | $4,831.60 | 2026-07-18 | MRF ↗ |
| MONUMENT HEALTH STURGIS HOSPITAL Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $38.88 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| MONUMENT HEALTH STURGIS HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $38.88 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Oscar_ | EPO | $39.00 | $1,287.60 | $515.04 | 2024-12-15 | MRF ↗ |
| MONUMENT HEALTH STURGIS HOSPITAL Outpatient | BCBS WELLMARK MCR ADV | BCBS WELLMARK MCR ADV | $39.85 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| Monument Health Orthopedic and Specialty Hospital Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $39.85 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| MONUMENT HEALTH STURGIS HOSPITAL Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $39.85 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | Oscar_ | EPO | $40.00 | $3,012.00 | $1,204.80 | 2024-12-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MONUMENT HEALTH CUSTER HOSPITAL Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $40.50 | $162.00 | $129.60 | 2026-05-28 | MRF ↗ |
| MONUMENT HEALTH CUSTER HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $40.50 | $162.00 | $129.60 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $40.61 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $40.61 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| MONUMENT HEALTH CUSTER HOSPITAL Outpatient | BCBS WELLMARK MCR ADV | BCBS WELLMARK MCR ADV | $41.52 | $162.00 | $129.60 | 2026-05-28 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Oscar_Health_Plan_of_NC | Medicare_HMO | $42.00 | $4,076.10 | $2,038.05 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Oscar_ | EPO | $42.00 | $926.10 | $370.44 | 2024-12-15 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $42.84 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $42.84 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $43.74 | $284.00 | $184.60 | 2026-03-01 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $44.44 | $488.94 | $488.94 | 2026-03-24 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | BCBS | Traditional | $45.00 | $1,111.32 | $555.66 | 2024-12-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM HMO | ANTHEM HMO | $45.09 | $77.00 | $57.75 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $45.90 | $306.00 | $198.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $45.90 | $306.00 | $198.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $45.90 | $306.00 | $198.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $45.90 | $306.00 | $198.90 | 2026-06-10 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Sunshine | Ambetter_Exchange | $46.00 | $1,018.71 | $407.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Sunshine | Ambetter_Exchange | $46.00 | $1,111.32 | $444.53 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Sunshine | Ambetter_Exchange | $46.00 | $926.10 | $370.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | BCBS | Preferred_Care_Blue | $46.00 | $1,111.32 | $555.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Sunshine | Ambetter_Exchange | $46.00 | $1,222.45 | $488.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Sunshine | Ambetter_Exchange | $46.00 | $778.00 | $311.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Sunshine_State | Exchange | $46.00 | $1,018.71 | $407.48 | 2024-12-15 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $46.14 | $346.54 | $170.83 | 2025-01-01 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $46.50 | $488.94 | $488.94 | 2026-03-24 | MRF ↗ |
| MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $46.98 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $46.98 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL Outpatient | TLC ADVANTAGE LLC - ALL PLANS | TLC ADVANTAGE LLC - ALL PLANS | $46.98 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| MONUMENT HEALTH SPEARFISH HOSPITAL Outpatient | MEDICA MCAID | MEDICA MCAID | $47.63 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| Monument Health Orthopedic and Specialty Hospital Outpatient | MEDICA MCAID | MEDICA MCAID | $47.63 | $162.00 | $129.60 | 2026-09-01 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $47.71 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hhw | $47.71 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hip | $47.71 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw | $47.71 | — | — | 2026-05-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH OutpatientFacility | MHS | Managed Medicaid | $47.71 | $1,035.00 | $672.75 | 2025-07-21 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Pathways For Aging | $47.71 | — | — | 2026-05-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | MDWise | Managed Medicaid | $47.71 | $1,035.00 | $672.75 | 2025-07-21 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Pathways For Aging | $47.71 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | Managed Medicaid | $47.71 | — | — | 2026-02-13 | 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.