81003 — Automated Urinalysis Test
Cite this view
HANK Price Transparency. (n.d.). Automated urinalysis test (CPT 81003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81003?code_type=CPT
“Automated urinalysis test (CPT 81003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81003?code_type=CPT. Accessed .
“Automated urinalysis test (CPT 81003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81003?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3–$39 (25th–75th percentile) across 3,263 hospitals · 11,235 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81003 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $9.00 | $7.65 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $7.00 | $5.95 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $149.57 | $74.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $149.57 | $74.78 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $9.00 | $7.65 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $9.00 | $7.65 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $9.00 | $7.65 | 2025-01-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Community Family Care Health Plan - Med | Cal | — | $50.00 | $50.00 | 2026-05-24 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.04 | $1.96 | $0.29 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.04 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.04 | $1.96 | $0.53 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.04 | $1.96 | $0.37 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.04 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.04 | $1.96 | $0.29 | 2026-01-25 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.05 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.05 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $0.05 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $0.05 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH PORTLAND Outpatient | PACIFIC SOURCE COMM - ALL PLANS | PACIFIC SOURCE COMM - ALL PLANS | $0.07 | $3.00 | $0.96 | 2026-05-13 | MRF ↗ |
| ADVENTIST HEALTH PORTLAND Outpatient | PROVIDENCE HP - ALL PLANS | PROVIDENCE HP - ALL PLANS | $0.07 | $3.00 | $0.96 | 2026-05-13 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.07 | $359.18 | $359.18 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH PORTLAND Outpatient | HEALTHNET EPO/POS/PPO | HEALTHNET EPO/POS/PPO | $0.07 | $3.00 | $0.96 | 2026-05-13 | MRF ↗ |
| ADVENTIST HEALTH PORTLAND Outpatient | HEALTHNET HMO/POS - ALL OTHER PLANS | HEALTHNET HMO/POS - ALL OTHER PLANS | $0.07 | $3.00 | $0.96 | 2026-05-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.07 | $133.54 | $133.54 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.07 | $95.55 | $95.55 | 2026-03-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.07 | $120.00 | $44.40 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH PORTLAND Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.07 | $3.00 | $0.96 | 2026-05-13 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.09 | $4.00 | $3.00 | 2026-02-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.09 | $133.54 | $133.54 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.09 | $359.18 | $359.18 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.09 | $95.55 | $95.55 | 2026-03-18 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.11 | $5.00 | $5.00 | 2026-02-09 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.11 | $5.00 | $5.00 | 2026-02-09 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| PURCELL MUNICIPAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.12 | $5.19 | $3.11 | 2026-02-24 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.12 | $133.54 | $133.54 | 2026-03-18 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.12 | $120.65 | $36.19 | 2026-04-01 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.13 | $5.60 | $5.60 | 2026-02-10 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.13 | $28.00 | $26.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.13 | $27.00 | $25.65 | 2026-02-20 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.13 | $5.60 | $5.60 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.13 | $5.60 | $5.60 | 2026-02-10 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.13 | $27.00 | $25.65 | 2026-02-20 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | VANTAGE HEALTH-ALL OTHER PLANS | VANTAGE HEALTH-ALL OTHER PLANS | $0.14 | $6.00 | $6.00 | 2026-05-07 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $0.14 | $6.00 | $5.40 | 2026-01-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $28.00 | $26.60 | 2026-02-20 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | NHN/MNA-ALL PLANS | NHN/MNA-ALL PLANS | $0.14 | $6.00 | $5.40 | 2026-01-23 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.14 | $6.00 | $3.90 | 2026-03-27 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | CIGNA MCR ADV | CIGNA MCR ADV | $0.14 | $6.00 | $6.00 | 2026-05-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | NOMI HEALTH - ALL PLANS | NOMI HEALTH - ALL PLANS | $0.16 | $7.00 | $4.20 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $0.16 | $7.00 | $4.20 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.16 | $7.00 | $4.20 | 2026-05-05 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.16 | $7.00 | $5.25 | 2026-02-02 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.16 | $7.00 | $4.20 | 2026-05-05 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | ROCKY MOUNTAIN PRIVATE PLAN | ROCKY MOUNTAIN PRIVATE PLAN | $0.18 | $8.00 | $6.00 | 2026-04-21 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.18 | $8.00 | $8.00 | 2026-02-10 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.18 | $8.00 | $8.00 | 2026-02-09 | MRF ↗ |
| SEILING MUNICIPAL HOSPITAL Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $0.18 | $8.02 | $256.57 | 2026-01-20 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MODA MCR ADV | MODA MCR ADV | $0.18 | $8.00 | $3.84 | 2026-05-13 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.18 | $8.00 | $8.00 | 2026-02-10 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | ROCKY MOUNTAIN CHP-ALL OTHER PLANS | ROCKY MOUNTAIN CHP-ALL OTHER PLANS | $0.18 | $8.00 | $6.00 | 2026-04-21 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.18 | $8.00 | $8.00 | 2026-02-09 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.18 | $8.00 | $3.84 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PACIFIC SOURCE - ALL PLANS | PACIFIC SOURCE - ALL PLANS | $0.18 | $8.00 | $3.84 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $0.18 | $8.00 | $3.84 | 2026-05-13 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.18 | $8.00 | $8.00 | 2026-02-10 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | ROCKY MOUNTAIN SELF INSURED | ROCKY MOUNTAIN SELF INSURED | $0.18 | $8.00 | $6.00 | 2026-04-21 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.20 | $9.00 | $2.43 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.20 | $9.00 | $2.43 | 2026-01-31 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | TRICARE IP/OP ONLY - ALL PLANS | TRICARE IP/OP ONLY - ALL PLANS | $0.20 | $8.80 | $4.40 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.20 | $9.00 | $3.24 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.20 | $9.00 | $3.24 | 2026-01-24 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.23 | $10.00 | $7.50 | 2026-05-08 | MRF ↗ |
| Perry Hospital Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.23 | $10.00 | $5.06 | 2025-06-10 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.23 | $10.00 | $6.60 | 2026-01-07 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.23 | $10.00 | $3.50 | 2026-02-25 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Wellcare_755 | Managed Medicaid | $0.23 | $3.00 | $0.30 | 2026-02-02 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.23 | $33.00 | $21.45 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.23 | $33.00 | $21.45 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.23 | $10.00 | $6.60 | 2026-01-07 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.23 | $10.00 | $5.06 | 2025-06-10 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $0.23 | $10.00 | $5.00 | 2026-02-18 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.25 | $10.93 | $10.93 | 2026-03-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_773 | Managed Medicaid | $0.25 | $3.00 | $0.30 | 2026-02-02 | MRF ↗ |
| ROCHELLE COMMUNITY HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $0.25 | $11.00 | $11.00 | 2026-02-04 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.25 | $11.00 | $3.85 | 2026-02-25 | MRF ↗ |
| ROCHELLE COMMUNITY HOSPITAL Outpatient | THE ALLIANCE-ALL PLANS | THE ALLIANCE-ALL PLANS | $0.25 | $11.00 | $11.00 | 2026-02-04 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP COMM - ALL OTHER PLANS | SWHP COMM - ALL OTHER PLANS | $0.25 | $11.00 | $7.15 | 2026-05-07 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $0.26 | $59.00 | $47.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $0.26 | $59.00 | $47.20 | 2026-03-26 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $0.27 | $12.00 | $12.00 | 2026-01-15 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $0.28 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $0.28 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $0.28 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $0.28 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $0.28 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriGroup_754 | Managed Medicaid | $0.29 | $3.00 | $0.30 | 2026-02-02 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | $0.30 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | $0.30 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | HMO | $0.30 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | $0.30 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | $0.30 | $0.70 | $0.35 | 2026-03-17 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $0.31 | $59.00 | $47.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $0.31 | $59.00 | $47.20 | 2026-03-26 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.33 | $14.77 | $14.77 | 2026-03-02 | MRF ↗ |
| MOUNTAIN WEST MEDICAL CENTER Outpatient | PEHP-ALL PLANS | PEHP-ALL PLANS | $0.34 | $15.00 | $9.00 | 2026-01-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $0.34 | $15.18 | $9.56 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $0.34 | $15.18 | $9.56 | 2026-03-25 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.34 | $15.00 | $12.75 | 2026-03-11 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $0.34 | — | — | 2026-03-01 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | CARESOURCE OH MARKETPLACE | CARESOURCE OH MARKETPLACE | $0.34 | $15.00 | $15.00 | 2026-02-25 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $101.88 | $66.22 | 2025-11-26 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.34 | $15.00 | $12.75 | 2026-03-11 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.34 | $15.00 | $11.25 | 2026-02-02 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $0.34 | — | — | 2026-03-01 | MRF ↗ |
| FREDONIA REGIONAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.34 | $15.00 | $15.00 | 2026-03-03 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $0.34 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $0.35 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $0.35 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $0.35 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $0.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $0.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $0.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $0.36 | — | — | 2025-08-01 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.37 | $16.63 | $16.63 | 2026-03-02 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.37 | $1.96 | $0.53 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.37 | $1.96 | $0.53 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $0.37 | $1.96 | $0.53 | 2026-01-31 | MRF ↗ |
| LOST RIVERS MEDICAL CENTER Outpatient | HUMANA SLHP MCR ADV | HUMANA SLHP MCR ADV | $0.38 | $17.00 | $13.60 | 2026-05-07 | MRF ↗ |
| LOST RIVERS MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $0.38 | $17.00 | $13.60 | 2026-05-07 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.39 | $71.00 | — | 2026-03-31 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.40 | $0.89 | $0.89 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.40 | $0.89 | $0.89 | 2026-03-27 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.40 | $2.25 | $1.58 | 2025-08-08 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.40 | $0.89 | $0.89 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.40 | $0.89 | $0.89 | 2026-03-27 | MRF ↗ |
| FREDONIA REGIONAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.40 | $17.89 | $17.89 | 2026-03-03 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.40 | $2.25 | $1.58 | 2025-08-08 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.40 | $0.89 | $0.89 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.40 | $0.89 | $0.89 | 2026-03-27 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.41 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.41 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.41 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.41 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $0.41 | $18.20 | $18.20 | 2026-01-15 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.41 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $0.41 | $18.00 | $10.80 | 2026-01-24 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $0.41 | $18.00 | $14.40 | 2026-04-16 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | ST. VINCENT HEALTH - ALL PLANS | ST. VINCENT HEALTH - ALL PLANS | $0.41 | $18.00 | $12.60 | 2026-01-10 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.41 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.41 | $18.00 | $10.80 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | COMMUNITY CARE COMM - ALL OTHER PLANS | COMMUNITY CARE COMM - ALL OTHER PLANS | $0.41 | $18.00 | $10.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.41 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $0.41 | $18.00 | $10.80 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $0.41 | $18.00 | $10.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.41 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $0.42 | — | — | 2025-10-24 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.43 | $19.00 | $5.13 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.43 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.43 | $1.96 | $0.71 | 2026-01-24 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.43 | $19.00 | $12.35 | 2026-04-23 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.43 | $19.00 | $12.35 | 2026-03-27 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.43 | $19.00 | $12.35 | 2026-03-27 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $0.43 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $0.43 | — | — | 2025-08-01 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.43 | $19.00 | $12.35 | 2026-04-23 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Medicare Advantage | $0.44 | $2.00 | $0.40 | 2025-03-27 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $0.44 | — | — | 2025-10-24 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $0.45 | $7.00 | $4.12 | 2026-02-12 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| GREENWOOD COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.45 | $20.00 | $16.00 | 2026-03-03 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $0.45 | $20.00 | $15.00 | 2026-04-27 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $0.45 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $0.46 | $20.34 | $20.34 | 2025-05-29 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $0.47 | $21.00 | $16.80 | 2026-04-16 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.47 | $1.96 | $0.35 | 2026-01-30 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC VA CCN OP/PROFEE ONLY | UHC VA CCN OP/PROFEE ONLY | $0.47 | $21.00 | $10.50 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC VA CCN OP/PROFEE ONLY | UHC VA CCN OP/PROFEE ONLY | $0.47 | $21.00 | $10.50 | 2025-12-20 | MRF ↗ |
| COLUSA MEDICAL CENTER Outpatient | ANTHEM BLUE CROSS - ALL OTHER PLANS | ANTHEM BLUE CROSS - ALL OTHER PLANS | $0.47 | $21.00 | $12.60 | 2026-01-13 | 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.