80101 — Drug Screen W/urine Alcohol
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DRUG SCREEN W/URINE ALCOHOL (CPT 80101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/80101?code_type=CPT
MLA (9th ed.)
“DRUG SCREEN W/URINE ALCOHOL (CPT 80101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/80101?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DRUG SCREEN W/URINE ALCOHOL (CPT 80101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/80101?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29–$109 (25th–75th percentile) across 371 hospitals · 738 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 80101 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$29
$59 typical
$109
The middle 50% of negotiated facility rates for this procedure, measured across 371 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $59 |
| Likely subtotal | $59 |
Facility charge (no separate professional fee)
$59
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $29–$109.
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| EVERGREEN MEDICAL CENTER Both | Medicaid Alabama | Default | — | $142.00 | $92.30 | 2025-08-07 | MRF ↗ |
| EVERGREEN MEDICAL CENTER Both | Blue Cross Blue Shield of AL | Default | — | $142.00 | $92.30 | 2025-08-07 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Ambetter | $1.50 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Careplus | Medicare Advantage | $1.50 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Molina Healthcare of FL | HIX | $1.62 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | AmeriHealth Caritas FL | HIX | $1.68 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Blue Cross Blue Shield of Florida (Florida Blue) | SBN/MBN | $1.80 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Aetna of FL | MDCG/JHS | $2.09 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Cigna of FL | LocalPlus/Surefit | $2.17 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Blue Cross Blue Shield of Florida (Florida Blue) | NWB | $2.46 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Cigna of FL | MDCPS Employee | $2.48 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Blue Cross Blue Shield of Florida (Florida Blue) | PPO/PHS | $2.58 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Cigna of FL | HMO/Open Access | $2.61 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $2.74 | $10.00 | $7.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $2.74 | $10.00 | $7.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $2.74 | $10.00 | $7.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $2.74 | $10.00 | $7.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Default | $2.80 | $10.00 | $7.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | $2.80 | $10.00 | $7.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $2.80 | $10.00 | $7.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $3.00 | $10.00 | $7.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $3.00 | $10.00 | $7.00 | 2026-04-07 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $3.07 | $16.00 | $12.80 | 2026-07-15 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Curative | Commercial | $3.18 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Aetna of FL | Commercial | $3.29 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $3.36 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $3.36 | — | — | 2025-12-27 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $3.40 | $141.00 | — | 2026-08-17 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | AvMed | Select Network | $3.42 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Simply Healthcare | Medicare | $3.60 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Employers Health Network | Commercial | $3.60 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $3.71 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $3.74 | $141.00 | — | 2026-08-17 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | $3.78 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Amerigroup by Anthem | Medicare Advantage | $3.82 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Superior Select | Dual Eligible Plans | $3.90 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Health First New York Health insurance | Commercial | $3.90 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | AvMed | Broad Network | $3.90 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | First Health | Commercial | $3.90 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Provider Partners Health Plans | All Plans | $3.90 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Wellcare by Allwell | All Plans | $3.90 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Wellcare Health Plans | All Plans | $3.90 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $3.90 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $4.00 | $18.00 | $18.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $4.00 | $18.00 | $18.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $4.00 | $18.00 | $18.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $4.00 | $18.00 | $18.00 | 2025-07-03 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Broward Health | Commercial | $4.20 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| KIT CARSON COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Co Anthem Mcr Adv | Default | $4.35 | $10.82 | $9.20 | 2026-07-15 | MRF ↗ |
| KIT CARSON COUNTY MEMORIAL HOSPITAL Both | Medicare A Co Jh | Default | $4.35 | $10.82 | $9.20 | 2026-07-15 | MRF ↗ |
| KIT CARSON COUNTY MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $4.44 | $10.82 | $9.20 | 2026-07-15 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Dimension Health | Commercial | $4.80 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Beech Street | Commercial | $4.80 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr InpatientFacility | Multiplan | Commercial | $4.80 | $6.00 | $1.62 | 2026-03-25 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Ambetter | Marketplace Plans | $4.82 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | QualChoice of Arkansas | All Plans | $4.82 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $4.99 | $26.00 | $20.80 | 2026-07-15 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $5.00 | $13.00 | $3.00 | 2026-04-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $5.43 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $5.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $5.43 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $5.43 | — | — | 2026-01-01 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Aet Mcr | Aet Mcr | $5.57 | $40.00 | $30.00 | 2026-07-20 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Covenant Healthcare | All Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Empower Healthcare Solutions | Managed Medicaid | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Plans | $5.60 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Assured Benefits Administrators | All Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Superior Select | Dual Eligible Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare by Allwell | All Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Total Care | Managed Medicaid | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Ambetter | Marketplace Plans | — | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Assured Benefits Administrators | All Plans | $5.94 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $6.00 | $18.00 | $18.00 | 2025-07-03 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $6.00 | $13.00 | $3.00 | 2026-04-01 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | United Medicare Solutions | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | One Care Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | WPS | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Mercy Care Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | AARP Medicare Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | UHC Dual Complete | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | University Care Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Health Choice Pathways | PPO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna Medicare Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Wellcare Medicare Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana Choice Gold | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Allwell Advantage | HMO | $6.13 | $22.70 | — | 2026-06-29 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | HealthLink | All Plans | $6.51 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $6.52 | $34.34 | $34.34 | 2026-07-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $6.52 | $34.34 | $34.34 | 2026-08-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $6.52 | $34.34 | $34.34 | 2026-08-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $6.52 | $34.34 | $34.34 | 2026-07-31 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $6.57 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $6.57 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $6.57 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $6.61 | — | — | 2026-01-01 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $6.86 | $25.00 | $17.50 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $6.86 | $25.00 | $17.50 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $6.86 | $25.00 | $17.50 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $6.86 | $25.00 | $17.50 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | $7.00 | $25.00 | $17.50 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Default | $7.00 | $25.00 | $17.50 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $7.00 | $25.00 | $17.50 | 2025-07-14 | MRF ↗ |
| ELECTRA MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $7.00 | $25.00 | $17.50 | 2026-03-11 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $7.20 | $37.88 | $7.58 | 2026-07-15 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $7.43 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $7.43 | — | — | 2025-06-28 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Cigna | Default | $7.46 | $10.00 | $7.00 | 2025-07-14 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health - DSNP | Managed Medicaid | $7.46 | $102.00 | $10.20 | 2026-02-02 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Cigna | Default | $7.46 | $10.00 | $7.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $7.50 | $25.00 | $17.50 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $7.50 | $25.00 | $17.50 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | $7.89 | $10.00 | $7.00 | 2025-07-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $7.90 | $41.58 | $8.32 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Wellcare_755 | Managed Medicaid | $7.98 | $102.00 | $10.20 | 2026-02-02 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | Group Health | COMM | $8.00 | — | — | 2024-10-01 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | $8.00 | $16.00 | $12.80 | 2026-07-15 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Medicare A LA JH | Default | $8.03 | $39.00 | $19.50 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Aetna | Default | $8.03 | $39.00 | $19.50 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Medicare B LA JH | Default | — | $39.00 | $19.50 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Default | $8.10 | $39.00 | $19.50 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | VA Community Care Network VACCN Region 1-3 Triwest | Default | $8.19 | $39.00 | $19.50 | 2024-10-24 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $8.24 | $34.34 | $34.34 | 2026-08-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $8.24 | $34.34 | $34.34 | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Outpatient | BLUE SHIELD EPN IFP | BLUE SHIELD EPN IFP | $8.25 | $32.10 | — | 2025-11-07 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Dignity Health Plan DOS lt 01012023 | Default | $8.43 | $39.00 | $19.50 | 2024-10-24 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Blue Access *Refer To Anthem Case Rate Tab | — | $8.45 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Blue Preferred *Refer To Anthem Case Rate Tab | — | $8.45 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Pathway Ppo *Refer To Anthem Case Rate Tab | — | $8.45 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Blue Traditional *Refer To Anthem Case Rate Tab | — | $8.45 | $13.00 | — | 2026-07-31 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_773 | Managed Medicaid | $8.61 | $102.00 | $10.20 | 2026-02-02 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $8.70 | $45.78 | $9.16 | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Cigna | Qhp | $8.71 | $37.88 | $7.58 | 2026-07-15 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Aetna | Medicare Advantage | $8.79 | $39.00 | $19.50 | 2026-09-11 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $8.83 | $46.00 | $36.80 | 2026-07-15 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $8.88 | $39.00 | $19.50 | 2026-09-11 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | VA Community Care Network VACCN Region 1-3 Optum | Commercial | $8.97 | $39.00 | $19.50 | 2026-09-11 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $9.00 | $27.00 | $6.00 | 2026-04-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $9.00 | $34.34 | $34.34 | 2026-07-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $9.00 | $34.34 | $34.34 | 2026-08-01 | MRF ↗ |
| F W HUSTON MEDICAL CENTER Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $9.00 | $12.00 | $9.60 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health - DSNP | Managed Medicaid | $9.06 | $124.00 | $12.40 | 2026-02-02 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Humana | — | $9.10 | $13.00 | — | 2026-07-31 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriChoice_756 | Managed Medicaid | $9.19 | $102.00 | $10.20 | 2026-02-02 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Wellcare Medicaid | — | $9.23 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Molina Healthcare Medicaid | — | $9.23 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Medicaid | — | $9.23 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Medicare Select | — | $9.23 | $13.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Molina Healthcare Medicare Advantage | — | $9.23 | $13.00 | — | 2026-07-31 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Dignity Health Plan | All Plans | $9.23 | $39.00 | $19.50 | 2026-09-11 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Passport Medicaid | — | $9.23 | $13.00 | — | 2026-07-31 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $9.32 | $40.00 | $24.00 | 2026-07-17 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | El Paso Health Dual | Medicare Advantage | $9.47 | $37.88 | $7.58 | 2026-07-15 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna | Default | $9.50 | $10.00 | $7.00 | 2025-07-14 | 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.