36415 — Venipuncture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VENIPUNCTURE (HCPCS 36415) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36415?code_type=HCPCS
MLA (9th ed.)
“VENIPUNCTURE (HCPCS 36415) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36415?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“VENIPUNCTURE (HCPCS 36415) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36415?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9–$29 (25th–75th percentile) across 3,282 hospitals · 11,280 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 36415 — 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $58.00 | $49.30 | 2025-01-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $33.00 | $3.30 | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $61.71 | $30.86 | 2024-12-15 | MRF ↗ |
| MT. GRAHAM REGIONAL MEDICAL CENTER Inpatient | TRICARE TDEFIC | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $99.99 | $54.99 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $24.00 | $20.40 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $99.99 | $54.99 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $58.00 | $49.30 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $61.71 | $30.86 | 2024-12-15 | MRF ↗ |
| MT. GRAHAM REGIONAL MEDICAL CENTER Inpatient | CALPERS | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS PRIMARY | — | $432.00 | $280.80 | 2026-03-12 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $33.00 | $3.30 | 2026-04-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $38.00 | $32.30 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $38.00 | $32.30 | 2025-01-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $33.00 | $3.30 | 2026-06-01 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.03 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC OXFORD SELECT [30000] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC GEHA [30015] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC [30008] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC SUREST [30017] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC CORE ESSENTIALS ALL SAVERS [30019] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC CORE ESSENTIAL [30018] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC INDEMNITY [30007] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC CHOICE PLUS PPO UMR [30002] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC STUDENT RESOURCES [30016] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC NAVIGATE [30013] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC GOLDEN RULE [30001] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.03 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC LEASED [30010] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC CORE UMR [30020] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.03 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC CHOICE PLUS PPO ALLSAVERS [30005] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Outpatient | UNITED HEALTHCARE [3000] | UHC SHARED SERVICES [30014] | $0.03 | $1,255.00 | $753.00 | 2025-12-31 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.04 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.04 | $46.00 | $17.02 | 2026-03-31 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.04 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB ADA FIRST HEALTH | — | $402.00 | $261.30 | 2026-03-12 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.04 | $20.00 | $185.00 | 2026-04-02 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.04 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.04 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.04 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.05 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.05 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.05 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | POINT C CONTRACTED [320238] | HB SPRG DEC CITY OF SPRINGFIELD | — | $1,125.00 | $731.25 | 2026-03-12 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | POINT C CONTRACTED [320238] | HB SPRG DEC CITY OF SPRINGFIELD | — | $1,125.00 | $731.25 | 2026-03-12 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.05 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.05 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | POINT C CONTRACTED [320238] | HB SPRG MISSOURI STATE UNIVERSITY | — | $1,125.00 | $731.25 | 2026-03-12 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.05 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | POINT C CONTRACTED [320238] | HB SPRG MISSOURI STATE UNIVERSITY | — | $1,125.00 | $731.25 | 2026-03-12 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.05 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.06 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $0.06 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.06 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.06 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.06 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.06 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.06 | $30.00 | $18.00 | 2026-03-06 | MRF ↗ |
| EXCELSIOR SPRINGS HOSPITAL BothFacility | HUMANA INC. - Commercial-POS | Humana | $0.06 | $34.00 | $34.00 | 2025-12-12 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $0.06 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.06 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.06 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.06 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.06 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.06 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.06 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.07 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.07 | $57.56 | $57.56 | 2026-03-18 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.07 | $95.55 | $95.55 | 2026-03-18 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.07 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Highmark BCBS of PA | CHIP | $0.07 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Highmark BCBS of PA | Commercial | $0.07 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.07 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.07 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.07 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.07 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.07 | $78.28 | $78.28 | 2026-03-18 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.07 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.08 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.08 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.08 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.08 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|PPO | $0.08 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.08 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.08 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.08 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.08 | $29.00 | $17.40 | 2026-03-06 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Cigna | Commercial|All Other Plans | $0.08 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.09 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $26.00 | $15.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $54.00 | $32.40 | 2026-03-07 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Health Net | Commercial|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Humana | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | MultiPlan | Commercial|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Kaiser | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Coventry | Commercial|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | BCBS - Anthem | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.09 | $25.00 | $15.00 | 2026-03-06 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Blue Shield CA | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|All Other Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|Options | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Aetna | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | Health Net | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Medicare|All Plans | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $0.09 | $47.00 | $28.20 | 2026-03-06 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | United | Commercial|HMO | $0.09 | $0.09 | $0.05 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $30.00 | $28.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $30.00 | $28.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $30.00 | $28.50 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.16 | $61.02 | $61.02 | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.20 | $20.45 | $12.27 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.20 | $20.45 | $12.27 | 2025-08-11 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Inpatient | QCA HEALTH PLAN INC | Indemnity | $0.23 | $69.00 | $20.70 | 2025-07-01 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $90.00 | $9.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $27.00 | $2.70 | 2026-05-06 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | NJ MANUFACTURERS NO FAULT [5203] | CMC HORIZON CASUALTY PIP | — | $1,086.00 | $117.49 | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $90.00 | $9.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $27.00 | $2.70 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $90.00 | $9.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $27.00 | $2.70 | 2026-05-22 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.24 | $109.00 | $185.00 | 2026-04-02 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.26 | $25.00 | $16.25 | 2026-03-14 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Healthpartners Insurance | Com | — | $51.00 | $45.90 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Healthpartners Insurance | Com | — | $51.00 | $45.90 | 2026-05-23 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA CONTRACTED [320008] | HB SAMC AETNA COMMERCIAL NEW 070123 | — | $1,033.00 | $671.45 | 2026-03-12 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.38 | $36.40 | $36.40 | 2026-04-24 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | — | $18,222.10 | $10,933.26 | 2025-12-31 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan Elevate | HMO/POS/PPO | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Employer Group | HMO/POS/PPO | $0.42 | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Medicare Advantage | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | United Healthcare | HMO/POS/PPO | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | CMS | Medicare | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Cigna Healthcare | HMO/POS/PPO | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Anthem Blue Cross Blue Shield | HMO/POS/PPO | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Aetna Healthcare | HMO/POS/PPO | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Aetna Healthcare | Medicare Advantage | — | $1.23 | $0.44 | 2026-04-30 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $35.00 | $28.70 | 2025-11-26 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | — | $1,125.00 | $731.25 | 2026-03-12 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.45 | $3.00 | $0.45 | 2025-12-23 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | — | $1,125.00 | $731.25 | 2026-03-12 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.45 | $3.00 | $0.45 | 2025-12-23 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $29.76 | $29.76 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $29.76 | $29.76 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $29.76 | $29.76 | 2025-12-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.47 | $5.00 | $3.75 | 2026-05-08 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $0.48 | $67.00 | $40.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $0.48 | $45.00 | $27.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $0.48 | $46.00 | $27.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $0.48 | $72.00 | $43.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $0.48 | $72.00 | $43.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $0.48 | $37.00 | $22.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $0.48 | $46.00 | $27.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $0.48 | $46.00 | $27.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $0.48 | $72.00 | $43.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $0.48 | $83.00 | $49.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $0.48 | $37.00 | $22.20 | 2026-01-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.49 | $24.50 | — | 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.