Q4187 — Graft Epicord Purion 2x3cm 6sqcm-q4187-cost Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT EPICORD PURION 2X3CM 6SQCM-Q4187-COST PER SQ CM (HCPCS Q4187) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4187?code_type=HCPCS
MLA (9th ed.)
“GRAFT EPICORD PURION 2X3CM 6SQCM-Q4187-COST PER SQ CM (HCPCS Q4187) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4187?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GRAFT EPICORD PURION 2X3CM 6SQCM-Q4187-COST PER SQ CM (HCPCS Q4187) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4187?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $266–$1,193 (25th–75th percentile) across 1,818 hospitals · 3,589 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4187 — 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
$266
$510 typical
$1,193
The middle 50% of negotiated facility rates for this procedure, measured across 1,818 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $510 |
| Likely subtotal | $510 |
Facility charge (no separate professional fee)
$510
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 $266–$1,193.
- 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 |
|---|---|---|---|---|---|---|---|
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $2,400.00 | $832.80 | 2025-09-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $3,044.92 | $1,522.46 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $520.43 | $442.37 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,044.92 | $1,522.46 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $2,400.00 | $832.80 | 2025-09-09 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $520.43 | $442.37 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $520.43 | $442.37 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $2,400.00 | $832.80 | 2025-09-09 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $3,072.00 | $2,519.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $3,072.00 | $2,519.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $821.00 | $673.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $797.00 | $653.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $821.00 | $673.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $821.00 | $673.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | — | $821.00 | $673.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,072.00 | $2,519.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $797.00 | $653.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,072.00 | $2,519.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $821.00 | $673.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $821.00 | $673.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $3,072.00 | $2,519.04 | 2025-11-26 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-18 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $30.00 | $16.80 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Medicaid | Node Tx Medicaid | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Medicaid | Node Tx Medicaid | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $31.95 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| MONUMENT HEALTH CUSTER HOSPITAL Outpatient | BCBS WELLMARK MCR ADV | BCBS WELLMARK MCR ADV | $32.04 | $125.00 | $100.00 | 2026-05-28 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $32.13 | $1,529.80 | $1,147.35 | 2026-08-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $32.14 | $3,291.20 | $3,291.20 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $32.14 | $3,291.20 | $3,291.20 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $32.14 | $3,291.20 | $3,291.20 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $32.25 | $3,291.20 | $3,291.20 | 2026-06-05 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $33.55 | $634.00 | $133.14 | 2026-07-15 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Kaweah Delta Health | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Short Doyle Madera County | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Halcyon Behavioral Health | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $33.90 | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $33.90 | $135.60 | $108.48 | 2026-06-18 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Physmetrics Health | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | EPO/PPO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Central CA Alliance | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $33.90 | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Halcyon Behavioral Health | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $33.90 | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Central CA Alliance | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $34.27 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $34.27 | $1,444.00 | $1,444.00 | 2024-10-01 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Cross SR Secure EHS HMO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Central Valley Medical Providers | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | HealthSmart | HPO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Kaiser Senior Advantage Medicare | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Cross SR Secure Sante HMO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | BSCPHP - DHMSO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | HealthNet | HMO/EPO/PPO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Wellcare | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CorrectCare Integrated Health | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Generic Humana HMO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Imperial Health Plan HMO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield 65 Plus HMO First Choice | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Cal Caloptima | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante - Blue Cross | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Generic BSCPHP | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Advantek Chukchansi | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Innovative Integrated Health Community Plans HMO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante Sub Cap AARP UHC | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante Sub Cap HealthNet Seniority | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Generic Aetna PPO/PFFS | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Generic | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante Sub Cap-Blue Shield/Sante | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Aetna | HMO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Cross PPO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Coventry Health Care (First Health Network) | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante-Blue Shield/Sante | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield Saint Agnes | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Generic Care Out of County | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Humana HMO - Key Medical | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Central Valley Medical Providers | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Humana HMO - MedPro | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante-MA Aetna | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | United Healthcare Direct | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Brand New Day | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Champion Health Plan of California MA | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield HMO-CVMP/MedPro | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante-MA Blue Cross Senior Secure | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | HealthNet HMO - CVMP/MedPro | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Humana HMO EHS | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Railroad Part A & B | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Employer 90/40 | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Care1st HMO - EHS | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Railroad Part B | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sante-Sub Cap MA Brand New Day | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | United Healthcare Dual Complete | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | US Marshal | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Meritage Humana HMO | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Kaiser | Commercial | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Mariposa | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Meritage United Healthcare | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CHDP | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Merced | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Cross | HMO/PPO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Sequoia Pace | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Aetna | POS/PPO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Advantek Table Mountain Rancheria Tribal Member | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield Promise - Imperial | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield Sante | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | HealthSmart | PPO | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | HealthNet | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | — | $135.60 | $108.48 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Scan Health Plan | Medicare Advantage | — | $135.60 | $108.48 | 2025-03-13 | 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.