83036 — Hemoglobin A1c
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEMOGLOBIN A1C (CPT 83036) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/83036?code_type=CPT
MLA (9th ed.)
“HEMOGLOBIN A1C (CPT 83036) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/83036?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HEMOGLOBIN A1C (CPT 83036) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/83036?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10–$72 (25th–75th percentile) across 3,359 hospitals · 11,746 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 83036 — 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
$10
$28 typical
$72
The middle 50% of negotiated facility rates for this procedure, measured across 3,359 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $28 |
| Likely subtotal | $28 |
Facility charge (no separate professional fee)
$28
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $84.00 | $71.40 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $182.23 | $91.12 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $237.00 | $201.45 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $237.00 | $201.45 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $84.00 | $71.40 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $182.23 | $91.12 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $116.00 | $98.60 | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.10 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.13 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.16 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.16 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.17 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $0.17 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.17 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Freedom Health Care | MGMGR | $0.17 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.18 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | AvMed | HIX | $0.18 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.18 | $179.50 | $53.85 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.20 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.20 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRHMO | $0.22 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | PFFS | $0.22 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Freedom Health Care | MGMGR | $0.22 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.22 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRPPO | $0.22 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | HIX | $0.22 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.26 | $25.00 | $25.00 | 2026-04-24 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.30 | $147.00 | $54.39 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Simply Healthcare | MGMCR | $0.34 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | United | OptionsPPO | $0.36 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.36 | $288.95 | $288.95 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $0.36 | $303.92 | $303.92 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $0.36 | $303.92 | $303.92 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.37 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.37 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.38 | $4.80 | $0.86 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.38 | $4.80 | $0.86 | 2026-02-25 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HIX | $0.39 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.39 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.40 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.40 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.40 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $0.40 | $5.00 | — | 2025-11-10 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.40 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $202.60 | $131.69 | 2025-11-26 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $0.41 | $2.75 | $2.75 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Molina | MGMCR | $0.42 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.43 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Simply Healthcare | MGMCR | $0.43 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.44 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | United | OptionsPPO | $0.46 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | AvMed | HMOFI | $0.48 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.48 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.48 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.48 | $24.00 | — | 2026-03-31 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $0.49 | $2.75 | $2.75 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $0.49 | $2.75 | $2.75 | 2026-03-01 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $0.49 | $5.00 | $5.00 | 2026-05-11 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $0.49 | $2.75 | $2.75 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.49 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.49 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.49 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | United | OptionsPPO | $0.49 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $0.50 | $5.00 | $2.86 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.50 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.50 | $5.19 | $3.11 | 2026-02-17 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Evolutions Healthcare Systems | PrimeTier1 | $0.51 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.51 | $310.82 | $310.82 | 2026-03-18 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Simply | MGMCR | $0.51 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.52 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.52 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.52 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.53 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.53 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.53 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Molina | MGMCR | $0.53 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.53 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.54 | $100.00 | $95.00 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | AvMed | ASOEO | $0.55 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $0.55 | $5.00 | $1.37 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $0.55 | $5.00 | $1.95 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.55 | $5.00 | $1.37 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.55 | $5.00 | $1.37 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $0.56 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.57 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.59 | $109.00 | $103.55 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Molina | HIX | $0.59 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Humana | HMO | $0.62 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Humana | PPO | $0.62 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | HMOFI | $0.62 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Molina Healthcare | MGMCR | $0.63 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Evolutions Healthcare Systems | PrimeTier1 | $0.64 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Humana | HMO | $0.66 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Aetna | ASA | $0.66 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Humana | PPO | $0.66 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $0.70 | $5.00 | $1.40 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | ASOEO | $0.70 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $0.70 | $5.00 | $1.40 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Sunshine State Health Plan | QHP | $0.71 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Evolutions | TieredNetwork | $0.76 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Molina | HIX | $0.76 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $0.77 | $2.75 | $2.75 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | HMO | $0.78 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | PPO | $0.78 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HMOFI | $0.79 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.80 | $5.00 | — | 2025-11-10 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.81 | $8.37 | $185.00 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.81 | $8.37 | $185.00 | 2026-04-02 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.82 | $5.00 | — | 2025-11-10 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.83 | $8.54 | $5.64 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.83 | $8.54 | $1.62 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.83 | $8.54 | $1.28 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.83 | $8.54 | $1.28 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.83 | $8.54 | $2.31 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.83 | $8.54 | $3.07 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.83 | $8.54 | $5.64 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.83 | $8.54 | $3.07 | 2026-01-24 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.84 | $5.00 | — | 2025-11-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Aetna | ASA | $0.84 | $2.80 | $2.80 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $0.84 | $5.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $0.84 | $5.00 | — | 2025-11-10 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Sunshine State Health Plan | QHP | $0.84 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|All Other Plans | $0.85 | $5.00 | $1.40 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|All Other Plans | $0.85 | $5.00 | $1.40 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.85 | $83.00 | $53.95 | 2026-03-14 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $0.86 | $4.80 | $0.86 | 2026-02-25 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | COVENTRY | All Products | $0.86 | $4.80 | $3.12 | 2025-01-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HUMANA MED ADV - ALL PLANS | HUMANA MED ADV - ALL PLANS | $0.86 | $4.80 | $0.86 | 2026-02-25 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | COVENTRY | All Products | $0.86 | $4.80 | $3.12 | 2025-01-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MED ADV | HEALTHNET MED ADV | $0.86 | $4.80 | $0.86 | 2026-02-25 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | HMO/POS | $0.88 | $5.00 | — | 2025-11-10 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Kaiser | Managed Care | $0.89 | $3.00 | $1.20 | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Kaiser | Managed Care | $0.89 | $3.00 | — | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| NEMAHA VALLEY COMMUNITY HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.91 | $9.34 | $8.41 | 2026-03-05 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $0.91 | $5.00 | — | 2025-11-10 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | ASOEO | $0.92 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Health Net | Managed Care | $0.93 | $3.00 | — | 2026-05-08 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | $0.94 | $6.25 | $6.25 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.97 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Health Net | Qhp | $0.97 | $3.00 | $1.20 | 2026-05-06 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.97 | $73.00 | $47.45 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.97 | $73.00 | $47.45 | 2025-01-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.98 | $23.00 | $23.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.98 | $23.00 | $23.00 | 2026-04-30 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Aetna | ASA | $0.99 | $3.29 | $3.29 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $0.99 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Coventry First Health | Coventry First Health | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Keenan | Keenan | $1.00 | $3.18 | $12.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Cigna Lifesource | Cigna Lifesource | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Interlink BMT | Interlink BMT | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| MCLAREN PORT HURON Both | WC - Workers Compensation | WC - Workers Compensation | $1.00 | $5.00 | $2.00 | 2025-02-03 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.00 | $23.00 | $23.00 | 2026-04-30 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Cofinity | Cofinity | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $312.73 | $203.27 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $244.00 | $200.08 | 2025-11-26 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Priority Health | Priority Health | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | HAP - HMO | HAP - HMO | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.00 | $23.00 | $23.00 | 2026-04-30 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $1.00 | $13.00 | $6.50 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $312.73 | $203.27 | 2025-11-26 | MRF ↗ |
| KARMANOS CANCER CENTER Both | WC - Workers Compensation | WC - Workers Compensation | $1.00 | $2.00 | $1.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | HAP AHL | HAP AHL | $1.00 | $2.00 | $1.00 | 2025-02-03 | 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.