Q4205 — Membrane Graft Or Wrap Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Membrane graft or wrap sq cm (HCPCS Q4205) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4205?code_type=HCPCS
MLA (9th ed.)
“Membrane graft or wrap sq cm (HCPCS Q4205) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4205?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Membrane graft or wrap sq cm (HCPCS Q4205) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4205?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $158–$1,580 (25th–75th percentile) across 1,019 hospitals · 1,107 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4205 — 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
$158
$1,056 typical
$1,580
The middle 50% of negotiated facility rates for this procedure, measured across 1,019 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,056 |
| Likely subtotal | $1,056 |
Facility charge (no separate professional fee)
$1,056
- 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 |
|---|---|---|---|---|---|---|---|
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.44 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.44 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.44 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.44 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.51 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.51 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.51 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.51 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.56 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.56 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.60 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.60 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.60 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.60 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.61 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.61 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.61 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.61 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.61 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.61 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.62 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.62 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $0.63 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.63 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.63 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.64 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.64 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.64 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.64 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $0.65 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $0.65 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.67 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.67 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $0.71 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WEBTPA | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WEBTPA | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.75 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.75 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $0.77 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.79 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.82 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.83 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $0.84 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.84 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $0.84 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.85 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.86 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.88 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.90 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.91 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $0.92 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.94 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1.02 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMBETTER | AMBETTER MARKETPLACE | $1.06 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AMBETTER | AMBETTER MARKETPLACE | $1.06 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.09 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $1.12 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $1.13 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | WEBTPA | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MERITAIN | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | COVENTRY | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA EAP | AETNA | $1.14 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1.15 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $1.17 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1.17 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1.18 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1.20 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $1.20 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $1.23 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1.24 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | NOVA | CLAIMDOC | $1.26 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $1.26 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | CLAIMDOC | CLAIMDOC | $1.26 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $1.26 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | NOVA | CLAIMDOC | $1.26 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | CLAIMDOC | CLAIMDOC | $1.26 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $1.29 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA | CIGNA | $1.30 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA EAP | CIGNA | $1.30 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA EAP | CIGNA | $1.30 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WPS | WISCONSIN PHYSICIAN SERVICES | $1.30 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA | CIGNA | $1.30 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | THE ALLIANCE | THE ALLIANCE | $1.31 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | THE ALLIANCE | THE ALLIANCE | $1.32 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | THE ALLIANCE | THE ALLIANCE | $1.32 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | CENTIVO | CENTIVO | $1.33 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $1.34 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1.35 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $1.37 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1.38 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $1.38 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $1.38 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | NEWTON CORRECTIONAL FACILITY | NEWTON CORRECTIONAL FACILITY | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | PREFERRED ONE | PREFERRED ONE | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $2.17 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $1.41 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $1.42 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | BLUE CROSS - MI | BCBS MI LOCAL HMO | $1.45 | $6.31 | $4.10 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $1.45 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER MARKETPLACE | $1.49 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $1.50 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $1.51 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | CIGNA | MIDLANDS CHOICE PPO | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | CIGNA EAP | MIDLANDS CHOICE PPO | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $1.52 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $1.53 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $1.53 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | CIGNA EAP | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MEDICA | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | CIGNA | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | CIGNA | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | CIGNA EAP | MIDLANDS CHOICE PPO | $1.54 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.57 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $1.57 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.57 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.57 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | AETNA | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MERITAIN | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | WEBTPA | AETNA | $1.60 | $2.17 | $1.41 | 2026-03-31 | 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.