Q4160 — Nushield 1 Square Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Nushield 1 square cm (CPT Q4160) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4160?code_type=CPT
MLA (9th ed.)
“Nushield 1 square cm (CPT Q4160) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4160?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Nushield 1 square cm (CPT Q4160) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4160?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $176–$842 (25th–75th percentile) across 1,701 hospitals · 3,490 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4160 — 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
$176
$312 typical
$842
The middle 50% of negotiated facility rates for this procedure, measured across 1,701 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $312 |
| Likely subtotal | $312 |
Facility charge (no separate professional fee)
$312
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 $176–$842.
- 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 | — | — | — | $906.77 | $453.39 | 2024-12-15 | MRF ↗ |
| PROGRESS WEST HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI COMMUNITY | — | $0.01 | $0.01 | 2025-12-15 | MRF ↗ |
| CHRISTIAN HOSPITAL NORTHEAST Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI COMMUNITY | — | $0.01 | $0.01 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI COMMUNITY | — | $0.01 | $0.01 | 2025-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $906.77 | $453.39 | 2024-12-15 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | AvMed | HIX | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | MBN | $0.12 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | BSL | $0.12 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | SBN | $0.12 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | TRULI FOR HEALTH | COMM | $0.12 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | HMO | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | PPO | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | NWB | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Simply Healthcare | MGMCR | $0.16 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | United | OptionsPPO | $0.17 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | BCBS | PHS | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | AvMed | HMOFI | $0.23 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | AvMed | ASOEO | $0.26 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.28 | $153.29 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.29 | $161.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.33 | $183.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.33 | $180.84 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.37 | $205.37 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.44 | $243.00 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $0.45 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.47 | — | — | 2025-04-16 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.47 | $262.00 | — | 2024-12-31 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.47 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.47 | — | — | 2025-04-16 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.47 | $258.34 | — | 2024-12-31 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.47 | — | — | 2025-04-16 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.49 | $274.36 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Prime Health Sheriff | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Plotkin Health | WORKERSCOMP | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.51 | $284.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.56 | $310.00 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Evolutions | SELECTPPO | $0.60 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.64 | $353.40 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Multiplan | PRIMARYPPO | $0.75 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.78 | $435.00 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Prime Health | COMM | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Evolutions | TRADITIONALPPO | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Multiplan | COMPLEMENTARYPPO | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Evolutions | DISCOUNTPPO | $0.92 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ESSENTIA HEALTH 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 ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $6.04 | $637.00 | $254.80 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $6.04 | $637.00 | $254.80 | 2026-05-22 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.06 | $124.00 | $80.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.06 | $124.00 | $80.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.06 | $124.00 | $80.60 | 2026-03-12 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $8.83 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $8.83 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $8.83 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $8.83 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $8.83 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.04 | $139.00 | $90.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.04 | $139.00 | $90.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $9.04 | $139.00 | $90.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.04 | $139.00 | $90.35 | 2026-03-12 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Triwest | All Plans | $9.29 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.49 | $146.00 | $94.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.49 | $146.00 | $94.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.49 | $146.00 | $94.90 | 2026-03-12 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | $9.71 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | $9.71 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | $9.71 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | $9.71 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | HMO | $9.71 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.66 | $164.00 | $106.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10.66 | $164.00 | $106.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $10.66 | $164.00 | $106.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.66 | $164.00 | $106.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.79 | $166.00 | $107.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.79 | $166.00 | $107.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10.79 | $166.00 | $107.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $13.69 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $13.69 | — | — | 2024-10-01 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.47 | $238.00 | $154.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.47 | $238.00 | $154.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.47 | $238.00 | $154.70 | 2026-03-12 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $15.84 | $396.00 | $396.00 | 2026-05-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $15.99 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $15.99 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $16.12 | $248.00 | $161.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $16.12 | $248.00 | $161.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.12 | $248.00 | $161.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.12 | $248.00 | $161.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.77 | $258.00 | $167.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.77 | $258.00 | $167.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $16.77 | $258.00 | $167.70 | 2026-03-12 | MRF ↗ |
| CARSON VALLEY HEALTH Both | — | — | — | $70.86 | $49.60 | 2025-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $16.91 | $396.00 | $396.00 | 2026-05-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | KY Work Comp | KY Work Comp | $16.95 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | KY Work Comp | KY Work Comp | $16.95 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $17.11 | $396.00 | $396.00 | 2026-05-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Self Pay | Self Pay | $17.33 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Self Pay | Self Pay | $17.33 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $17.36 | $267.00 | $173.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $17.36 | $267.00 | $173.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $17.36 | $267.00 | $173.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $17.36 | $267.00 | $173.55 | 2026-03-12 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $18.07 | $9,791.00 | $6,364.15 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $18.07 | $9,791.00 | $6,364.15 | 2026-03-30 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $18.60 | $124.00 | $80.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $18.60 | $124.00 | $80.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $18.60 | $124.00 | $80.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $18.92 | $291.00 | $189.15 | 2026-03-12 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Humana | Medicare Advantage | $19.12 | $70.83 | $49.58 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Aetna | Medicare Advantage | $19.12 | $70.83 | $49.58 | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | United Healthcare | Medicare Advantage | $19.12 | $70.83 | $49.58 | 2026-03-27 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Humana | Humana KY MCD HMO | $19.65 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Humana | Humana KY MCD HMO | $19.65 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Aetna | PPO | $19.87 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Health Partners | All Plans | $19.87 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | PPO | $19.87 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | HMO | $19.87 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | United Healthcare | PPO | $19.87 | $22.08 | $11.04 | 2026-03-17 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna Better Health MCD KY | Aetna Better Health MCD KY | $20.19 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna Better Health MCD KY | Aetna Better Health MCD KY | $20.19 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $311.71 | $202.61 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $311.71 | $202.61 | 2025-01-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $20.75 | $156.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $20.75 | $156.00 | — | 2026-04-20 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $20.85 | $139.00 | $90.35 | 2026-03-12 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $21.08 | $136.00 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $21.08 | $136.00 | — | 2024-12-31 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Alignment | Medicare Advantage | $21.25 | $70.83 | $49.58 | 2026-03-27 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $21.38 | $396.00 | $396.00 | 2026-05-15 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Wellcare by Allwell | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | SummaCare | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Primetime Health Plan | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Humana | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Cigna | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Molina | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | United Healthcare | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Anthem | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Devoted Health | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | The Health Plan | Medicare Advantage | $21.60 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| STOUGHTON HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $21.64 | $98.36 | $54.10 | 2026-01-19 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $21.90 | $146.00 | $94.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $21.90 | $146.00 | $94.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $21.90 | $146.00 | $94.90 | 2026-03-12 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $21.90 | $136.00 | — | 2024-12-31 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Passport by Molina | Medicaid|All Plans | $22.14 | $155.00 | $55.31 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Passport by Molina | Medicaid|All Plans | $22.14 | $155.00 | $55.31 | 2026-02-28 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Paramount | Medicare Advantage | $22.25 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | WellCare | WellCare Medicaid KY | $22.33 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Medicaid KY | Medicaid KY | $22.33 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | WellCare | WellCare Medicaid KY | $22.33 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Medicaid KY | Medicaid KY | $22.33 | $89.33 | $17.34 | 2026-01-01 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Silver Summit | Medicare Advantage_Allwell | $22.67 | $70.83 | $49.58 | 2026-03-27 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Valor Health Plans | Medicare Advantage | $22.68 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $22.68 | $108.00 | $81.00 | 2025-05-17 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna_of_GA | Medicare_HMO | $23.00 | $417.98 | $208.99 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | $23.00 | $417.98 | $208.99 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | $23.00 | $629.61 | $314.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna | HMO_PPO | — | $417.98 | $208.99 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | Humana | PPO/PFFS_Medicare | $23.00 | $1,400.58 | $560.23 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | $23.00 | $417.98 | $208.99 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $417.98 | $208.99 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Cigna_HealthSpring | _Medicare | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | PFFS_Medicare | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | Medicare | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Blue_Cross_Blue_Shield_of_Kansas | HMO_Medicare | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Alignment_Medicare | HMO_PPO_Medicare | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Wellcare_of_NC | Medicare_HMO | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Humana_Health | Medicare_HMO_PPO | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | $23.00 | $629.61 | $314.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Aetna | Medicare | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | $23.00 | $629.61 | $314.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Longevity_Health_Plan | Medicare | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | Medicare_HMO_PPO | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Devoted_Health | Medicare | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Humana | Medicare_HMO_PPO_PFFS_Behavioral_Health | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | $23.00 | $623.67 | $311.83 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna_Health | Medicare | $23.00 | $651.91 | $325.96 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | $23.00 | $859.15 | $429.58 | 2024-12-15 | 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.