Q4278 — Epieffect, Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Epieffect, per sq cm (HCPCS Q4278) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4278?code_type=HCPCS
MLA (9th ed.)
“Epieffect, per sq cm (HCPCS Q4278) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4278?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Epieffect, per sq cm (HCPCS Q4278) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4278?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $232–$836 (25th–75th percentile) across 926 hospitals · 931 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4278 — 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 the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$232
$375 typical
$836
The middle 50% of negotiated facility rates for this procedure, measured across 926 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $375 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $127 × 1.22 commercial. | $155 |
| Likely subtotal | $530 |
Surgical episode (typical)
~$530
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,315
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 |
|---|---|---|---|---|---|---|---|
| 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 DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $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 ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $6.16 | — | — | 2026-01-13 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $6.43 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $6.43 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $6.43 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $6.43 | — | — | 2025-04-16 | 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 | United Healthcare | Star Kids KM | — | — | — | 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 | Christus Health | HIX | — | — | — | 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 | Healthcare Highways | PPO | — | — | — | 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 | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Healthsmart | Preferred | — | — | — | 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 | United Healthcare | VA CCN MM | — | — | — | 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 | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Imperial Health Plan | MM | — | — | — | 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 | 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 | Amerigroup | Star 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 | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | Phcs | PPO | — | — | — | 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 | Molina | Star Plus 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 | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS OutpatientFacility | United Healthcare | All Payer | — | — | — | 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 Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $6.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty 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 ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | MyBlueHealth | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | MyBlueHealth | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $7.52 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE 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 Hospital - Alamo Heights OutpatientFacility | Blue Cross Blue Shield of Texas | HEB | $7.66 | — | — | 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 - 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 | 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 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 | 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 Health - West Beaumont OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | $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 ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | HEB | $8.09 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | PPO | $8.23 | — | — | 2026-01-13 | 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 ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BluePremier | $8.52 | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS Southeast Texas - MidCounty OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-13 | 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 ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | $8.52 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Hospital - Orange 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 ↗ |
| 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 Hospital - Orange OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-13 | 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 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 ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | $9.02 | — | — | 2026-01-12 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $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 SPINE HOSPITAL Outpatient | BCBS | BlueEssentials | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $9.67 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueAdvantage | $9.74 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | MyBlueHealth | $9.74 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | BCBS | BAV | $9.81 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | BCBS | EPOSOA | $10.17 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE 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 | BlueEssentials | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentialsAccess | $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 ↗ |
| 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 Federal | Traditional | $27.21 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $27.21 | — | — | 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 ↗ |
| 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 | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | 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 ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | CARESOURCE MCAID-ALL PLANS | CARESOURCE MCAID-ALL PLANS | $47.71 | $2,271.50 | $1,590.05 | 2026-01-10 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | United Healthcare of Indiana | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | HOOSIER HEALTHWISE MCAID-ALL PLANS | HOOSIER HEALTHWISE MCAID-ALL PLANS | $47.71 | $2,271.50 | $1,590.05 | 2026-01-10 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | MDWise | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | MHS | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Indiana | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $48.19 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH OutpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $48.66 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $48.66 | — | — | 2025-07-21 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Hospice of Bloomington Hospital | MCR | $48.68 | — | — | 2024-10-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | United Healthcare IN | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem IN | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Hospice of Bloomington Hospital | MCR | $48.68 | — | — | 2024-10-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource HIP | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem HIP | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MHS Behavioral | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MDWise HIP | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH OutpatientFacility | Anthem of Indiana | Managed Medicaid | $48.68 | — | — | 2026-05-05 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource IN | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $49.14 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $49.14 | — | — | 2025-04-24 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | CareSource | MCD | $49.65 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | CareSource | MCD | $49.65 | — | — | 2024-10-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $50.10 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $50.10 | — | — | 2025-04-24 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierCareConnect | $50.14 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierHealthwise | $50.14 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierHealthwise | $50.14 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierCareConnect | $50.14 | — | — | 2024-10-01 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $50.57 | — | — | 2025-04-24 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Molina | MCD | $53.55 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Molina | MCD | $53.55 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $56.76 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $56.76 | — | — | 2024-10-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $64.09 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $69.42 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $69.42 | — | — | 2026-03-29 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $81.12 | — | — | 2026-04-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.