80503 — Path Clin Consltj Sf 5-20
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PATH CLIN CONSLTJ SF 5-20 (CPT 80503) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/80503?code_type=CPT
MLA (9th ed.)
“PATH CLIN CONSLTJ SF 5-20 (CPT 80503) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/80503?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PATH CLIN CONSLTJ SF 5-20 (CPT 80503) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/80503?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50–$121 (25th–75th percentile) across 1,956 hospitals · 3,264 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 80503 — 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
$50
$62 typical
$121
The middle 50% of negotiated facility rates for this procedure, measured across 1,956 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $62 |
| Likely subtotal | $62 |
Facility charge (no separate professional fee)
$62
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 $50–$121.
- 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $140.00 | — | 2026-07-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.63 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.66 | — | — | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $482.06 | $63.23 | 2026-09-05 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.17 | $263.00 | $105.20 | 2026-07-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.28 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.47 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.48 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.48 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.60 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.61 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.61 | — | — | 2026-03-18 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL BEEVILLE OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | United Healthcare | All Payer | $1.69 | — | — | 2026-01-12 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Veterans Affairs | Community Care Network | $2.20 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $76.00 | — | 2025-06-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueCare | $2.27 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $2.27 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Cigna-HealthSpring | Medicare Advantage | $2.28 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Veterans Affairs | Community Care Network | $2.40 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueCare | $2.47 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $2.47 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Cigna-HealthSpring | Medicare Advantage | $2.49 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $2.74 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $2.74 | — | — | 2024-10-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $2.95 | $294.91 | $221.18 | 2026-07-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.11 | — | — | 2026-03-18 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $3.54 | $294.91 | $221.18 | 2026-07-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA InpatientFacility | Central Health Plan | HMO | — | $78.75 | $78.75 | 2026-02-04 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $3.83 | $294.91 | $221.18 | 2026-08-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Coastal Healthcare Administrator | Commercial | $4.00 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $4.13 | $294.91 | $221.18 | 2026-08-01 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE HMO & PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA GOLD INTEGRATED PLUS (MMAI) | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA COMMERCIAL HMO, PPO, POS, EPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE HMO & PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BLUE CROSS COMMUNITY (MMAI) | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | CIGNA | CIGNA HMO & PPO PLANS | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COMMERCIAL | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | ZELIS | ZELIS | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MOLINA | MOLINA DUAL OPTIONS (MMAI) | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO COMMERCIAL PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | AETNA | AETNA COVENTRY | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH SMART | HEALTH SMART | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE VA COMMUNITY CARE NETWORK | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS BLUE CHOICE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH LINK | HEALTH LINK ALL PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS TRADITIONAL | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Whole Health | $4.89 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Humana | Medicare | $5.00 | $68.00 | $27.88 | 2026-07-15 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER InpatientFacility | Aetna | New Business Discount - Commercial | $5.11 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $5.26 | $250.67 | $188.00 | 2026-08-01 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $5.36 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $5.36 | $183.00 | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $5.36 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $5.36 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $5.36 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $5.36 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $5.36 | — | — | 2026-04-16 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | VHAN - Employee Networks | $5.39 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | Medicare | HMO | $5.41 | $13.20 | $9.90 | 2026-03-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $5.44 | $68.00 | — | 2025-11-10 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $5.47 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $5.63 | $183.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $6.03 | $183.00 | — | 2026-01-01 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | CIGNA ONE HEALTH | CIGNA ONE HEALTH | $6.21 | $30.00 | $15.00 | 2026-10-28 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Commercial | $6.42 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employee Networks | $6.48 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Aetna | VHAN - Employee Networks | $6.49 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN) | $6.49 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | Aetna | VHAN - Employee Networks | $6.50 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Blue Shield of California | CalPERS Trio HMO | $6.50 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN) | $6.50 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Aspire Health Plan | Blue Shield HMO Trio | $6.70 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Blue Shield of California | Non-Cal PERS Trio HMO | $6.70 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UHC | COMMUNITY CARE PEDS | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UHC | COMMUNITY CARE | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | NAPHCARE | Managed Medicaid Peds | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | NAPHCARE | Managed Medicaid | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UAHP | FAMILY CARE | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | CENPATICO | Managed Medicaid | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UAHP | FAMILY CARE PEDS | $6.80 | — | — | 2024-10-01 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL InpatientFacility | Aetna | Commercial | $6.90 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL InpatientFacility | Aetna | Commercial | $6.91 | $10.00 | $7.00 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL InpatientFacility | Aetna | Commercial | $6.93 | $10.00 | $7.00 | 2026-02-05 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Unite Here Health | Commercial | $7.00 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA InpatientFacility | LA Care | Covered California | — | $78.75 | $78.75 | 2026-02-04 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | MERCY CARE | COMPLETE CARE | $7.46 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | MERCY CARE | COMPLETE CARE PEDS | $7.46 | — | — | 2024-10-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Blue Shield of California | PPO Tandem | $7.67 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $7.90 | $98.78 | $59.27 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | Humana Military | TRICARE | — | $108.91 | $65.35 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $108.91 | $65.35 | 2026-02-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Anthem Blue Cross California | Pebble Beach Company | $8.08 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Anthem Blue Cross California | CalPERS PPO | $8.08 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Anthem Blue Cross California | All Other Top Tier | $8.08 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Anthem Blue Cross California | CalPERS Select | $8.08 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Anthem Blue Cross California | Monterey Peninsula College | $8.08 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Blue Shield of California | CalPERS PPO | $8.20 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $8.22 | $115.00 | $57.50 | 2026-03-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Anthem Blue Cross California | All Other Top Tier | $8.31 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Anthem Blue Cross California | CalPERS PPO | $8.31 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Anthem Blue Cross California | CalPERS Select | $8.31 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Anthem Blue Cross California | Pebble Beach Company | $8.31 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Anthem Blue Cross California | Monterey Peninsula College | $8.31 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Aspire Health Plan | Anthem Blue Cross HMO | $8.43 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Blue Shield of California | CalPERS PPO | $8.43 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Community Health Plan | Commercial | $8.50 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| BEAR LAKE MEMORIAL HOSPITAL Both | Medicaid Idaho | Default | $8.51 | $18.50 | $15.73 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $8.55 | $294.91 | $221.18 | 2026-08-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | UnitedHealthcare | Select/Select Plus | $8.55 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Anthem Blue Cross California | All Other Non-Top Tier | $8.55 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $8.60 | $86.00 | $86.00 | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | Aetna | Commercial | $8.65 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $8.67 | $102.00 | $81.60 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $8.67 | $102.00 | $81.60 | 2026-03-26 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS EXCH/BCE | BCBS EXCH/BCE | $8.70 | $30.00 | $15.00 | 2026-10-28 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | CHIP | $8.73 | $101.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | Community HealthChoices | $8.73 | $101.00 | — | 2026-04-08 | MRF ↗ |
| MARSHALL MEDICAL CENTERS Both | CIGNA | CIGNA COMMERCIAL | $8.75 | $35.00 | $35.00 | 2026-04-13 | MRF ↗ |
| LOWER KEYS MEDICAL CENTER Outpatient | Self Pay | Self Pay | $8.79 | $32.55 | $8.79 | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA InpatientFacility | UnitedHealthcare | Non Select | $8.80 | $10.00 | $7.00 | 2026-02-23 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8.82 | $104.00 | $31.20 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8.82 | $104.00 | $31.20 | 2026-04-01 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $8.85 | — | — | 2025-08-08 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $8.95 | $164.00 | $98.40 | 2026-03-06 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $108.91 | $65.35 | 2026-02-21 | MRF ↗ |
| BAXTER HEALTH Inpatient | Self Pay | Self Pay | $9.00 | $15.00 | $9.00 | 2026-08-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $108.91 | $65.35 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $98.78 | $59.27 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $108.91 | $65.35 | 2026-02-20 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $9.10 | $91.00 | $19.28 | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $9.10 | $91.00 | $15.37 | 2026-03-04 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $9.33 | $104.00 | $31.20 | 2026-07-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $9.40 | — | — | 2025-10-28 | MRF ↗ |
| BAXTER HEALTH Outpatient | Web Tpa | Web Tpa | — | $15.00 | $9.00 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Tricare | Medicare Managed 100% | — | $15.00 | $9.00 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs Medicare | — | $15.00 | $9.00 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH Outpatient | Non Contracted | Medicare Managed 100% | — | $15.00 | $9.00 | 2026-07-15 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $9.44 | $115.00 | $57.50 | 2026-03-20 | 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.