Q4175 — Miroderm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Miroderm (HCPCS Q4175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4175?code_type=HCPCS
MLA (9th ed.)
“Miroderm (HCPCS Q4175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4175?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Miroderm (HCPCS Q4175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4175?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74–$243 (25th–75th percentile) across 1,145 hospitals · 1,113 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4175 — 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
$74
$131 typical
$243
The middle 50% of negotiated facility rates for this procedure, measured across 1,145 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $131 |
| Likely subtotal | $131 |
Facility charge (no separate professional fee)
$131
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 $74–$243.
- 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 |
|---|---|---|---|---|---|---|---|
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1.00 | $0.56 | 2026-07-18 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $1.00 | $0.56 | 2026-07-15 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Wellcare | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $35.12 | $17.56 | 2025-10-21 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $171.00 | $111.15 | 2025-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $32.14 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $32.15 | $157.60 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $32.15 | $157.60 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $32.15 | $157.60 | — | 2024-12-31 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $32.24 | $197.57 | $118.54 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $32.24 | $197.57 | $118.54 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicare | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicare Advantage | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $32.47 | $157.60 | — | 2024-12-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $32.47 | $157.60 | — | 2024-12-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | WellCare of Kentucky | Medicaid | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $32.47 | $157.60 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $32.47 | $157.60 | — | 2025-12-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicare Advantage | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | WellCare of Kentucky | Medicare | $32.47 | $189.08 | $113.45 | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $32.47 | $157.60 | — | 2025-12-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $32.54 | $191.39 | $114.83 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Humana | Medicaid | $32.60 | $203.74 | $122.24 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.60 | $203.74 | $122.24 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Anthem | Medicaid | $32.60 | $203.74 | $122.24 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Humana | Medicaid | $32.60 | $203.74 | $122.24 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Anthem | Medicaid | $32.60 | $203.74 | $122.24 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $32.60 | $203.74 | $122.24 | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $32.70 | $149.99 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.70 | $149.99 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $32.70 | $149.99 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $32.70 | $149.99 | — | 2025-12-31 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Aetna Better Health | Medicaid | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicare Advantage | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicaid | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicaid | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicare | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicaid | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicare Advantage | $32.72 | $163.61 | $98.17 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Aetna Better Health | Medicaid | $32.72 | $163.61 | $98.17 | 2026-01-01 | 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.