Q4195 — Puraply 1 Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Puraply 1 sq cm (HCPCS Q4195) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4195?code_type=HCPCS
MLA (9th ed.)
“Puraply 1 sq cm (HCPCS Q4195) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4195?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Puraply 1 sq cm (HCPCS Q4195) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4195?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $135–$730 (25th–75th percentile) across 1,497 hospitals · 2,418 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4195 — 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
$135
$266 typical
$730
The middle 50% of negotiated facility rates for this procedure, measured across 1,497 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $266 |
| Likely subtotal | $266 |
Facility charge (no separate professional fee)
$266
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 $135–$730.
- 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 | — | — | — | $723.06 | $361.53 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $723.06 | $361.53 | 2024-12-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Multiplan | BeechStreetWC | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medical Development International | MedicalDevelopmentInternational | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Anthem | BlueCrossofGeorgia | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | AllyAlign Health | AllyAlignHealthMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Broad Creek Care Center | BroadCreekCareCenter | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Hargray | Hargray | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | NHC Healthcare Of Bluffton Snf | NHCHealthcareBlufftonSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Medical Savings PPO | MedicalSavingsPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaWellstar | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Physician Care Network | PhysiciansCareNetworkAccess | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Preferred Plan of Georgia | PreferredPlanofGeorgiaPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Life Care Center | LifeCareCenterManagedSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Align Network | AlignNetworkWC | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Fraser Health Center Managed | FraserHealthCenterManagedSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Key Health Medical Solutions Inc | KeyHealthMedicalSolutions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Detyens Medical Center | DetyensMedicalCenter | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Americas 1st Choice Medicare | Americas1stChoiceMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Physician Care Network | PhysiciansCareNetworkPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Palmetto Healthcare Network | PalmettoHealthcareNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Carrum Health | CarrumHealth | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Transcarent | Transcarent | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | AmerihealthExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCareSelect | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Humana | Medicare Advantage | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | PPO | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Indemnity | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis | Commercial | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Wellpoint | Managed Medicaid | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | United Healthcare | Commercial | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | United Healthcare | Managed Medicaid | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Clover | Medicare Advantage | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Omnia | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Wellpoint | Medicare Advantage | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Managed Care | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis Medicare Advantage | Medicare Advantage | — | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Humana/Choice Care | All Plans | $31.83 | $131.33 | $65.67 | 2025-10-08 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $31.88 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $31.88 | — | — | 2026-05-06 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $32.00 | $120.00 | $60.00 | 2025-10-29 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $32.03 | $291.20 | $174.72 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $32.03 | $291.20 | $174.72 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $32.03 | $291.20 | $174.72 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $32.03 | $291.20 | $174.72 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $32.03 | $291.20 | $174.72 | 2026-02-21 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source | Medicare Advantage | $32.15 | $131.33 | $65.67 | 2025-10-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source | Medicare Advantage | $32.15 | $131.33 | $65.67 | 2025-10-03 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | BCBS | SBN | $32.80 | $409.99 | $409.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | BCBS | BSL | $32.80 | $409.99 | $409.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | BCBS | MBN | $32.80 | $409.99 | $409.99 | 2026-03-01 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER | Multiplan Network_Multiplan Network | — | $32.96 | $412.00 | $288.40 | 2026-07-30 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $33.10 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $33.10 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $33.10 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $33.10 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $33.10 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $33.11 | $140.91 | $91.59 | 2025-06-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $33.72 | $281.00 | $182.65 | 2026-03-01 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AVMED | Select | $33.82 | $140.91 | $91.59 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AVMED | EXCHANGE | $33.82 | $140.91 | $91.59 | 2025-06-28 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Truli for Health | BSL | $33.97 | $390.47 | $390.47 | 2026-03-01 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | Individual Family Plan | $34.10 | $140.91 | $91.59 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $34.14 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Freedom Health | MGMCD | $34.18 | $213.60 | $213.60 | 2026-03-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Self Pay Non-Traditional | Self Pay Non-Traditional | $34.36 | $429.52 | $429.52 | 2026-07-17 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $34.47 | $158.14 | $102.79 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $34.47 | $158.14 | $102.79 | 2025-06-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $34.62 | $86.56 | — | 2026-09-05 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | SBN | $34.75 | $390.47 | $390.47 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | BSL | $34.75 | $390.47 | $390.47 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | MBN | $34.75 | $390.47 | $390.47 | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $34.94 | $291.20 | $174.72 | 2026-02-19 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $34.95 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $34.95 | $158.14 | $102.79 | 2026-06-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $34.95 | — | — | 2026-03-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $34.97 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $34.97 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $35.11 | $158.14 | $102.79 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $35.11 | $158.14 | $102.79 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $35.28 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $35.28 | $103.45 | $67.24 | 2026-06-15 | MRF ↗ |
| MORRIS HOSPITAL & HEALTHCARE CENTERS Outpatient | AETNA COMM- ALL OTHER PLANS | AETNA COMM- ALL OTHER PLANS | $35.36 | $104.00 | $25.02 | 2026-05-07 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | Summacare | Preferred | $35.38 | $103.45 | $67.24 | 2025-06-28 | 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.