80301 — Drug Screen Class List A
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DRUG SCREEN CLASS LIST A (HCPCS 80301) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/80301?code_type=HCPCS
MLA (9th ed.)
“DRUG SCREEN CLASS LIST A (HCPCS 80301) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/80301?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DRUG SCREEN CLASS LIST A (HCPCS 80301) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/80301?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$132 (25th–75th percentile) across 239 hospitals · 728 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 80301 — 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
$28
$63 typical
$132
The middle 50% of negotiated facility rates for this procedure, measured across 239 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $63 |
| Likely subtotal | $63 |
Facility charge (no separate professional fee)
$63
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 $28–$132.
- 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 |
|---|---|---|---|---|---|---|---|
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care First Health Plan | Blue Shield Promise Healthplan Mcal | $2.31 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care 1St Medi Cal Hmo Cap Exceptional Care | Care 1St Medi Cal Hmo Cap Exceptional Care | $2.31 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Clinica Medica Familiar | Clinica Medica Familiar Medi Cal | $2.77 | $23.10 | $23.10 | 2026-11-03 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Health Net Foundation | Health Net Medi-Cal | $3.47 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER InpatientFacility | — | — | — | $35.00 | $6.30 | 2026-03-17 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $3.71 | $7.00 | $3.99 | 2024-11-12 | 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 | Wellcare by Allwell | All Plans | $3.90 | $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 ↗ |
| 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 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 ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $4.36 | $27.00 | $20.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $4.37 | $27.00 | $20.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $4.46 | $27.00 | $20.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | CareSource GA | Default | $4.58 | $27.00 | $20.25 | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $4.59 | $190.45 | — | 2026-08-17 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Employee Health Systems Medical Group | Employee Health Systems Ppo | $4.62 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Bella Vista Medical Group Ipa | Bella Vista Med Grp Medi Cal | $4.62 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Global Care Medical Group Ipa | Global Care Med Grp Medi Cal | $4.62 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Bx Covered Calif Exchange | $4.75 | $23.10 | $23.10 | 2026-11-03 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Chinatown Service Center Pace | Chinatown Service Center Pace | $4.85 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | United Healthcare | Default | $4.86 | $27.00 | $20.25 | 2026-04-01 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Ms Physican Care | — | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Healthlink | Ppo | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Aetna | — | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Magnolia Health Medicaid | — | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Bcbs Ahs | — | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Bcbs | — | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| NOXUBEE GENERAL CRITICAL ACCESS HOSP Both | Ms Can Uhc | — | $5.00 | $5.00 | $3.75 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $5.03 | $208.91 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $5.05 | $190.45 | — | 2026-08-17 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Blue Cross Select Hmo | $5.05 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Blue Cross Priority Select Hmo | $5.05 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $5.41 | $190.45 | — | 2026-08-17 | MRF ↗ |
| MARSHALL MEDICAL CENTERS Both | CIGNA | CIGNA COMMERCIAL | $5.50 | $22.00 | $22.00 | 2026-04-13 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Health Net Foundation | Health Net Latino | $5.52 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $5.54 | $208.91 | — | 2026-08-17 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Plans | $5.60 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Care Network | Commercial | $5.62 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Traditional | Commercial | $5.62 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Anthem | Commercial | $5.62 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Health Alliance Plan of Michigan | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Blue Cross Commercial/Hmo/Ppo/Epo | $5.68 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Blue Cross Workers Compensation | $5.68 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Health Net Inc | Health Net Community Care Commercial | $5.68 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Alta Med Health Services Med Grp | Alta Med Health Services Hmo/Sr/Medi Cal | $5.78 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Medicare PPO | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $5.85 | $39.00 | — | 2025-07-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $5.90 | $14.75 | $386.86 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $5.90 | $14.75 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $5.90 | $14.75 | $386.86 | 2026-05-23 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Assured Benefits Administrators | All Plans | $5.94 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $6.02 | $190.45 | — | 2026-08-17 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Health Net Inc | Health Net | $6.19 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MOLINA | EXCHANGE | $6.24 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | EXCHANGE | $6.24 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $6.24 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $6.24 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MOLINA | EXCHANGE | $6.24 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $6.28 | $39.00 | — | 2025-07-30 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | HealthLink | All Plans | $6.51 | $7.00 | $3.99 | 2024-11-12 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AVMED | Medicare | $6.59 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AVMED | Medicare | $6.59 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $6.59 | $39.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AVMED | Medicare | $6.59 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $6.59 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $6.63 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | EXCHANGE | $6.63 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $6.63 | $39.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | EXCHANGE | $6.63 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $6.63 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | EXCHANGE | $6.63 | $39.00 | — | 2025-07-30 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Covenant Advantage/Advantage Plus | HMO/POS Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Cross Trust | Commercial | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Traditional | Commercial | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Wellcare/Meridian | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Molina Healthplan | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Physicians Health Plan Advantage/Advantage Plus | HMO Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Health Alliance Plan of Michigan | HMO | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | McLaren Advantage | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Care Network | Commercial | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan McLaren | Managed Medicaid | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Molina | Managed Medicaid | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Humana | PPO Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | McLaren Health Advantage | Commercial | $6.70 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Meridian | Managed Medicaid | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Care Network | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Health Alliance Plan of Michigan | PPO | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Cross Anthem | Commercial | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Priority Health | Medicare Advantage | — | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Priority Health E | Commercial | $6.85 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Good Samaritan Medical Practice Assoc | Good Samaritan Med Group Medi Cal | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Lincoln Hospital Medical Center | Lincoln Hospital Med Center Hmo Comm/Sr | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Molina Healthcare Of California | Molina California Benefit Exchange | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Senior | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Molina Healthcare Of California | Molina Medicare Advantage | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Ahmc Reciprocity Agreement Senior/Commercial | Ahmc Reciprocity Agreement Senior/Commercial | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Allied Physicians Medical Group | Allied Physicians Med Grp Hmo Comm/Sr | $6.93 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $7.00 | $19.00 | $10.00 | 2025-06-11 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna Better Health | Healthy Kids | $7.02 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $7.33 | $39.00 | — | 2025-07-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $7.38 | $14.75 | $386.86 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $7.38 | $14.75 | $386.86 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $7.38 | $14.75 | $24.67 | 2026-03-22 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Health Exchange Plan | $7.50 | $110.00 | $71.94 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Medicaid - Specialists | $7.50 | $110.00 | $71.94 | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $7.50 | — | — | 2025-09-05 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $7.58 | $39.00 | — | 2025-07-30 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $7.60 | $42.24 | $8.45 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Solis Health Plan | Medicare | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Solis Health Plan | Medicare | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Medicare PPO | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Medicare PPO | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Solis Health Plan | Medicare | $7.80 | $39.00 | — | 2025-07-30 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $8.00 | $19.00 | $10.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $8.00 | $19.00 | $10.00 | 2025-06-11 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $8.03 | — | — | 2025-09-05 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross/Physician Healthways/Medi-Cal/Healthy Families | Blue Cross/Allied Pacific Ipa/Medi-Cal And Healthy Families Cap | $8.09 | $23.10 | $23.10 | 2026-11-03 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $8.10 | $45.00 | $9.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Cigna | Commercial | $8.19 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Priority Health | PPO | $8.19 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $8.19 | $39.00 | — | 2025-07-30 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Health Advantage McLaren Employee | Commercial | $8.19 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Physicians Health Plan | Commercial | $8.19 | $14.89 | $10.42 | 2025-03-12 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Anthem | Blue Access Commercial | $8.24 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Anthem | Blue Access Commercial | $8.24 | — | — | 2025-05-16 | 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.