Q4309 — Via Matrix, Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Via matrix, per sq cm (HCPCS Q4309) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4309?code_type=HCPCS
MLA (9th ed.)
“Via matrix, per sq cm (HCPCS Q4309) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4309?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Via matrix, per sq cm (HCPCS Q4309) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4309?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $305–$5,567 (25th–75th percentile) across 791 hospitals · 654 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4309 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | MHS | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | United Healthcare of Indiana | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | 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 ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $47.71 | — | — | 2026-02-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | MDWise | Managed Medicaid | $47.71 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $47.71 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $47.71 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Indiana | 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 | Managed Medicaid | $48.66 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $48.66 | — | — | 2025-07-21 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MHS Behavioral | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource HIP | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | United Healthcare IN | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource IN | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem 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 ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem HIP | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MDWise HIP | Managed Medicaid | $48.68 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $49.14 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $49.14 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $50.10 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $50.10 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $50.57 | — | — | 2025-04-24 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $64.09 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | 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 GRAYLING 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 HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER 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 MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | 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 MANISTEE HOSPITAL OutpatientFacility | Molina | 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 GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | 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 MANISTEE HOSPITAL OutpatientFacility | United Healthcare | 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 OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | 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 | Meridian | Managed Medicaid | $64.85 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | 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 | Blue Cross Complete | 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 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 ↗ |
| 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 ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | All Commercial Plans | $85.46 | — | — | 2026-04-01 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meridian | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $87.82 | — | — | 2026-04-17 | MRF ↗ |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO OutpatientFacility | Molina | Medicare Managed Care Plan | $90.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Molina | Medicare Managed Care Plan | $90.66 | — | — | 2026-04-01 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | WellCare | All Products | $91.16 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Molina | Medicare Managed Care Plan | $92.32 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE OutpatientFacility | Molina | Medicare Managed Care Plan | $94.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE OutpatientFacility | Molina | Medicare Managed Care Plan | $94.01 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $95.36 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $95.36 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $102.98 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $104.25 | — | — | 2026-01-01 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Medicare B AR JH | Default | $107.12 | $13,000.00 | $13,000.00 | 2026-03-31 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Cigna | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Humana | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Blue Advantage | Medicare Advantage | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | UHC | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Aetna | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Palmetto GBA | Medicare Advantage | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Cigna | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | BCBS | Medicare Advantage | $107.25 | — | — | 2026-04-01 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $107.25 | — | — | 2026-04-01 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Humana | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $107.25 | — | — | 2026-04-01 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Aetna | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| J PAUL JONES HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $107.25 | — | — | 2026-04-17 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | UHC | All Products | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Blue Advantage | Medicare Advantage | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| J PAUL JONES HOSPITAL OutpatientFacility | Simpra | Medicare Advantage | $107.25 | — | — | 2026-04-17 | MRF ↗ |
| J PAUL JONES HOSPITAL OutpatientFacility | BCBS | Medicare Advantage | $107.25 | — | — | 2026-04-17 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | Palmetto GBA | Medicare Advantage | $107.25 | — | — | 2026-04-10 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Aca Exchange | $108.03 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Aca Exchange | $108.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Aetna | Medicare Managed Care Plan | $109.05 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $110.61 | — | — | 2026-01-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $111.23 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $111.60 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Commercial | $111.60 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $111.60 | — | — | 2026-04-17 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | HUMANA | MEDICARE | $112.01 | — | — | 2026-03-26 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | SIMPRA | MEDICARE | $112.01 | — | — | 2026-03-26 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICARE | MEDICARE | $112.01 | — | — | 2026-03-26 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE | $112.01 | — | — | 2026-03-26 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | ALABAMA BLUE CROSS BLUE SHIELD | MEDICARE | $112.01 | — | — | 2026-03-26 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Aetna | Medicare Advantage | $112.36 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Aetna | Medicare Advantage | $112.36 | — | — | 2026-04-01 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Medicare Replacement | Medicare Replacement | $112.68 | — | — | 2026-04-01 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Medicare Replacement | Medicare Replacement | $112.68 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Select Health | Medicare Managed Care Plan | $113.42 | — | — | 2026-04-01 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE | $114.25 | — | — | 2026-03-26 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Absolute Total Care | Medicare Managed Care Plan | $114.51 | — | — | 2026-04-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Health Net | Tricare | $114.65 | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Health Net | Tricare | $114.65 | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | Humana Choice Care | Medicare Advantage | $114.87 | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Other Plans | — | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Select | $114.87 | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $114.87 | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $114.87 | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | Humana Choice Care | All Other Plans | $114.87 | — | — | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-05-05 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | MMP | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $115.74 | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $115.74 | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | HMOOAP | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | PPO MA | $115.74 | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | PPO MA | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicare Advantage | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | HMO MA | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | HMO MA | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | PPO MA | $115.74 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicare Advantage | $115.74 | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $115.74 | — | — | 2026-03-12 | 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.