Q4194 — Novachor 1 Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Novachor 1 sq cm (HCPCS Q4194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4194?code_type=HCPCS
MLA (9th ed.)
“Novachor 1 sq cm (HCPCS Q4194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4194?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Novachor 1 sq cm (HCPCS Q4194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4194?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $257–$1,439 (25th–75th percentile) across 937 hospitals · 786 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4194 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER 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 DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $6.16 | — | — | 2026-01-13 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Blue Cross Blue Shield | Commercial | $6.30 | — | — | 2025-12-03 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Coventry | First Health | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | United Healthcare | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Healthsmart | Preferred | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | United Healthcare | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Imperial Health Plan | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.73 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.73 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.95 | — | — | 2026-01-13 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Blue Cross Blue Shield | HMO | $6.95 | — | — | 2025-12-03 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | Blue Advantage HMO | $7.09 | — | — | 2026-01-13 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | POS/PPO | $7.16 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Indemnity/Traditional | $7.16 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Essential | $7.16 | — | — | 2025-10-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $7.16 | — | — | 2025-10-14 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Blue Cross Blue Shield | PPO | $7.30 | — | — | 2025-12-03 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | MyBlueHealth | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | MyBlueHealth | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | MyBlueHealth | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | HMO | $7.59 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | $7.66 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | HEB | $7.66 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | $7.66 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | $7.73 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | $7.73 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | $7.73 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | $7.73 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | $7.73 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | $7.73 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | $7.80 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | $7.80 | — | — | 2026-01-12 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Ers Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Traditional | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Par Traditional | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Ers Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Par Traditional | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Ers Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Ers Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Traditional | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Hmo | $7.88 | — | — | 2026-04-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | HEB | $8.09 | — | — | 2026-01-13 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Ppo | $8.16 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Bcbs | Ppo | $8.16 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Par Traditional | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Blue Essentials Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Ers Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Par Traditional | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Bcbs | Blue Essentials Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Bcbs | Par Traditional | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | PPO | $8.23 | — | — | 2026-01-13 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Ers Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Hmo | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Par Traditional | $8.23 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Ppo | $8.31 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Bcbs | Ppo | $8.31 | — | — | 2026-04-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | PPO | $8.45 | — | — | 2026-01-13 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | BluePremier | $8.52 | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-13 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BluePremier | $8.52 | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-13 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BluePremier | $8.52 | — | — | 2026-03-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Bcbs | Ppo | $8.59 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Ppo | $8.59 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Bcbs | Ppo | $8.59 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $8.59 | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | MyBlueHealth | $8.88 | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $8.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $9.02 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-13 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BlueEssentials | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueEssentials | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | BlueEssentials | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | MyBlueHealth | $9.74 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueAdvantage | $9.74 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | BAV | $9.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | EPOSOA | $10.17 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | EPOSOA | $10.17 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | EPOSOA | $10.17 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | PPO | $10.60 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | PPO | $10.60 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | PPO | $10.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | HMO | $12.24 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | EPOSOA | $12.96 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | PPO | $13.68 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentialsAccess | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentials | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | EPOSOA | $15.90 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | PPO | $17.69 | — | — | 2026-03-01 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $18.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $18.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $18.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $18.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $18.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | $18.00 | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | Tricare Military | $18.00 | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | SB | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Traditional | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | FMOLAS Employee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PB | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | $18.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | PPA | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $18.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $18.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | HMO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Health New England | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | Indemnity | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | MedicareAdvantage | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | HMO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | MedicareAdvantage | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | PPA | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Health New England | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | Indemnity | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $18.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $18.03 | — | — | 2025-04-16 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $25.27 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $25.27 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $27.21 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $27.21 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $27.21 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $27.21 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $30.07 | — | — | 2026-01-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | 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.