36513 — Apheresis Platelets
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). APHERESIS PLATELETS (CPT 36513) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36513?code_type=CPT
MLA (9th ed.)
“APHERESIS PLATELETS (CPT 36513) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36513?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“APHERESIS PLATELETS (CPT 36513) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36513?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $440–$2,486 (25th–75th percentile) across 1,781 hospitals · 4,614 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 36513 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$440
$864 typical
$2,486
The middle 50% of negotiated facility rates for this procedure, measured across 1,781 hospitals. The the surgeon's fee 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. | $864 |
| Surgeon (professional fee) Estimate national typical Medicare $88 × 1.22 commercial. | $108 |
| Likely subtotal | $972 |
Surgical episode (typical)
~$972
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 |
|---|---|---|---|---|---|---|---|
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Oscar Health | Exchange | $0.44 | $25.75 | $9.01 | 2026-05-08 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $4,078.00 | $1,207.09 | 2026-02-28 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | $0.78 | $25.75 | $9.01 | 2026-05-08 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $1.95 | $8,442.00 | $6,331.50 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.56 | $5,865.00 | $447.68 | 2024-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $13.37 | $99.00 | $74.25 | 2026-01-16 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $19.10 | $782.00 | $312.80 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $19.10 | $782.00 | $312.80 | 2026-05-13 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $20.54 | $99.00 | $74.25 | 2026-01-16 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.62 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.75 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.75 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $23.63 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $23.78 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $23.78 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $23.79 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $23.96 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $23.96 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $23.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $23.96 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | $3,198.00 | $1,918.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.73 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.89 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.89 | — | — | 2026-03-18 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $28.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $28.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $28.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $28.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $28.46 | — | — | 2026-03-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| HOSPITAL EPISCOPAL SAN LUCAS METRO Inpatient | Prossam | Prossam | $30.00 | — | — | 2026-05-21 | MRF ↗ |
| HOSPITAL EPISCOPAL SAN LUCAS METRO Inpatient | Prossam | Prossam | $30.00 | — | — | 2026-05-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $34.19 | $188.00 | $188.00 | 2026-03-23 | 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 ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $35.00 | $14,875.00 | $9,668.75 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $37.61 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $37.61 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $37.61 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $39.30 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $43.67 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $43.67 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $43.67 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $43.67 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $43.67 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $43.67 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $44.55 | $99.00 | $74.25 | 2026-01-16 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon NJ Health | Managed Medicaid | $49.00 | $7,170.00 | $7,170.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon NJ Health | Managed Medicaid | $49.00 | $7,170.00 | $7,170.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon NJ Health | Managed Medicaid | $49.49 | $7,887.00 | $7,887.00 | 2026-05-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $51.00 | $213.00 | $213.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $51.00 | $213.00 | $213.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $51.00 | $213.00 | $213.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $51.00 | $213.00 | $213.00 | 2025-07-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $51.02 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $51.02 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $51.02 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE WEST [105601] | $51.02 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $52.04 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $52.04 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $52.22 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH ALLIANCE PLAN [1025] | HEALTH ALLIANCE PLAN HMO [102501] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH ALLIANCE PLAN [1025] | HENRY FORD HEALTH [102505] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH ALLIANCE PLAN [1025] | HEALTH ALLIANCE PLAN SHORT TERM [102502] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH ALLIANCE PLAN [1025] | HEALTH ALLIANCE PLAN [102503] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH ALLIANCE PLAN [1025] | HAP CARESOURCE MARKETPLACE [102504] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIANCE HEALTH AND LIFE [1004] | ALLIANCE HEALTH AND LIFE [100401] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIANCE HEALTH AND LIFE [1004] | ALLIANCE HEALTH AND LIFE INS 02399 [100403] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ASR CORPORATION [1007] | ASR CORPORATION 6392 [100701] | $52.72 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $52.77 | $5,895.00 | — | 2026-03-04 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $53.83 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $53.83 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $53.83 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $53.83 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $53.83 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $54.33 | $6,503.00 | — | 2026-03-04 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $54.83 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $54.83 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $54.88 | $2,500.00 | $2,500.00 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $54.88 | $2,500.00 | $2,500.00 | 2026-01-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $55.09 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $55.86 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $55.86 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $55.86 | — | — | 2026-03-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $55.88 | $5,244.00 | — | 2026-03-04 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $56.52 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $56.84 | — | — | 2025-06-17 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $58.00 | $5,522.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $58.00 | — | — | 2025-06-28 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $59.32 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $59.32 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $59.32 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Healthy Options | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Molina | Medicaid | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Dept of Labor and Industry - Washington State | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | CHIP | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER Both | Amerigroup | All | $60.36 | $788.55 | $709.70 | 2026-05-13 | MRF ↗ |
| COULEE MEDICAL CENTER Both | Coordinated Care - Managed Medicaid | Medicaid | $60.36 | $788.55 | $709.70 | 2026-05-13 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Coordinated Care | Apple Health | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Coordinated Care | Managed Medicaid | $60.36 | $788.55 | $709.70 | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Medicaid | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Amerigroup | All | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Basic | $60.36 | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Amerigroup | All | $60.36 | $788.55 | $709.70 | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER Both | Molina - Medicaid | Medicaid | $60.36 | $788.55 | $709.70 | 2026-05-13 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $61.02 | $782.00 | $398.82 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $62.15 | $782.00 | $398.82 | 2026-05-09 | 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.