84081 — Assay Phosphatidylglycerol
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ASSAY PHOSPHATIDYLGLYCEROL (CPT 84081) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/84081?code_type=CPT
MLA (9th ed.)
“ASSAY PHOSPHATIDYLGLYCEROL (CPT 84081) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/84081?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ASSAY PHOSPHATIDYLGLYCEROL (CPT 84081) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/84081?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17–$59 (25th–75th percentile) across 1,728 hospitals · 4,847 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 84081 — 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
$17
$22 typical
$59
The middle 50% of negotiated facility rates for this procedure, measured across 1,728 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $22 |
| Likely subtotal | $22 |
Facility charge (no separate professional fee)
$22
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 $17–$59.
- 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 |
|---|---|---|---|---|---|---|---|
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.66 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.66 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.66 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.86 | — | — | 2026-03-18 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL ALICE OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $2.00 | $120.00 | $39.60 | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL BEEVILLE OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL ALICE OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $2.00 | — | — | 2026-01-13 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Los Angeles Sheriffs | Los Angeles Sheriffs | $2.02 | $9.25 | $21.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Keenan | Keenan | $2.45 | $8.18 | $21.00 | 2024-12-19 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $2.48 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $2.48 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $2.48 | — | — | 2026-03-01 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $2.77 | $9.25 | $21.00 | 2024-12-19 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $2.84 | — | — | 2026-03-31 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $2.91 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $2.91 | — | — | 2025-08-08 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $2.98 | $32.00 | $32.00 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $3.34 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $3.34 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $3.39 | $47.08 | $47.08 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $3.39 | $47.08 | $47.08 | 2026-03-01 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $3.63 | $22.00 | $22.00 | 2026-02-09 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $3.63 | — | — | 2025-12-23 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $3.63 | $22.00 | $22.00 | 2026-02-09 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $3.63 | — | — | 2025-12-23 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $3.67 | $105.35 | $63.21 | 2026-03-31 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $3.72 | $91.15 | $35.54 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $3.72 | $91.15 | $35.54 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $3.72 | $91.15 | $35.54 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $3.72 | $91.15 | $35.54 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $3.72 | $91.15 | $35.54 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $3.72 | $91.15 | $35.54 | 2024-06-27 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $3.77 | $47.08 | $47.08 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $3.85 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $4.10 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $4.10 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $4.10 | — | — | 2025-07-22 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $4.10 | $87.20 | $87.20 | 2026-03-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $4.10 | — | — | 2025-07-22 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | HIX | $4.16 | $32.00 | $32.00 | 2024-10-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $4.18 | — | — | 2025-07-22 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Health Net of CA | Health Net Of CA Commercial | $4.25 | $8.18 | $21.00 | 2024-12-19 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $4.28 | — | — | 2025-06-27 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $4.30 | $16.52 | $1.16 | 2026-01-25 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $4.42 | $29.50 | $29.50 | 2026-03-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $4.47 | — | — | 2025-07-22 | MRF ↗ |
| Harper University Hospital Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $4.49 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $4.49 | — | — | 2025-01-31 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Epic Health Plan | Epic Health Plan Commercial | $4.50 | $8.18 | $21.00 | 2024-12-19 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Commercial | $4.72 | $9.25 | $21.00 | 2024-12-19 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $4.90 | — | — | 2026-05-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HUMANA GENERIC PAYOR [164014] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF MC HUMANA GENERIC PAYOR [164027] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA HMO [164033] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET GENERIC PAYOR [164010] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC AETNA HMO [164001] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE HMO [164005] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF ANTHEM/XIMED HMO [164022] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC ALLIANCE HMO [164020] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY HMO [164030] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC AETNA GENERIC PAYOR [164008] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC CIGNA GENERIC PAYOR [164007] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN HMO [164035] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HNET BLUE&GOLD ACO [164017] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF HUMANA/SDSM [164025] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE GENERIC PAYOR [164011] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN GENERIC PAYOR [164034] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS HMO [164002] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC CIGNA HMO [164003] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HUMANA HMO [164013] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $4.92 | $41.00 | $22.55 | 2026-04-01 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $4.95 | $33.00 | $4.95 | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $4.95 | $33.00 | $4.95 | 2025-12-23 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $5.06 | $30.62 | $18.37 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | NOMI HEALTH - ALL PLANS | NOMI HEALTH - ALL PLANS | $5.06 | $30.62 | $18.37 | 2026-05-05 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $5.22 | $153.00 | $29.07 | 2026-01-31 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $5.22 | $29.50 | $29.50 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $5.22 | $29.50 | $29.50 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $5.22 | $29.50 | $29.50 | 2026-03-01 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $5.25 | $35.00 | $5.25 | 2025-12-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $5.35 | $16.52 | $1.16 | 2026-01-25 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Truli for Health | COMMHMO | $5.39 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $5.55 | $16.52 | $1.16 | 2026-01-25 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $5.61 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $5.61 | — | — | 2026-03-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $5.62 | $279.69 | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $5.62 | $279.69 | — | 2025-06-27 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Choice Care Network Humana | Choice Care Network Humana | $5.73 | $8.18 | $21.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $5.76 | $557.00 | $100.26 | 2026-01-30 | MRF ↗ |
| BECKLEY ARH HOSPITAL OutpatientFacility | Humana | Choice Care | $5.78 | $167.00 | $100.20 | 2025-01-22 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | Wellpoint | Tenncare Medicaid Managed Care Plan | $5.78 | — | — | 2026-04-01 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BC MEDI-CAL | BC MEDI-CAL | $5.81 | $682.00 | $102.30 | 2026-01-25 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AMERIHEALTH CARITAS MCAID - ALL PLANS | AMERIHEALTH CARITAS MCAID - ALL PLANS | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | LHC MEDICAID | LHC MEDICAID | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HEALTHY BLUE MCAID - ALL OTHER PLANS | HEALTHY BLUE MCAID - ALL OTHER PLANS | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | MAGELLAN BEHAV MCAID - ALL PLANS | MAGELLAN BEHAV MCAID - ALL PLANS | $5.86 | $42.00 | $21.00 | 2026-01-17 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $5.87 | $153.00 | $29.07 | 2026-01-25 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL ALICE OutpatientFacility | United Healthcare | HIX | $5.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL ALICE OutpatientFacility | United Healthcare | HIX | $5.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL BEEVILLE OutpatientFacility | United Healthcare | HIX | $5.95 | — | — | 2026-01-13 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Oxford Health Plan | Commercial | $5.95 | — | — | 2025-06-17 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $5.95 | — | — | 2025-06-17 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Oxford_741 | All Commercial Products | $5.95 | $619.00 | $61.90 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_742 | All Commercial Products | $5.95 | $619.00 | $61.90 | 2026-02-02 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | HIX | $5.95 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | HIX | $5.95 | — | — | 2026-01-13 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | UNITED-MS_CHIP | UNITED HEALTHCARE CHIP | $5.95 | $147.00 | $117.60 | 2026-05-08 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | HIX | $5.95 | — | — | 2026-01-13 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Outpatient | COMMUNITY PLAN | 879_MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20210701 | $5.95 | — | — | 2026-01-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $5.98 | $153.00 | $29.07 | 2026-01-25 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $5.99 | $279.69 | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $5.99 | $279.69 | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Wellcare | Medicaid | $6.04 | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Molina | MCR | $6.08 | $32.00 | $32.00 | 2024-10-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $6.08 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $6.09 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $6.09 | — | — | 2025-08-01 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $6.09 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $6.09 | — | — | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $6.09 | — | — | 2025-08-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BC MCAL | BC MCAL | $6.11 | $16.52 | $1.16 | 2026-01-25 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $6.16 | $77.00 | — | 2025-11-10 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | United Healthcare | Commercial | $6.25 | $452.00 | $226.00 | 2025-12-23 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $6.28 | $87.20 | $87.20 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $6.28 | $87.20 | $87.20 | 2026-03-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $6.30 | $21.00 | $21.00 | 2026-03-23 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $6.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $6.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $6.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $6.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $6.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $6.38 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $6.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $6.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $6.39 | — | — | 2025-08-01 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $6.39 | $33.00 | $4.95 | 2025-12-23 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $6.39 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $6.39 | $33.00 | $4.95 | 2025-12-23 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $6.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $6.39 | — | — | 2025-08-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Healthy Kids | $6.40 | $54.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $6.40 | $54.00 | — | 2025-07-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $6.40 | — | — | 2025-01-01 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $6.40 | $33.00 | $4.95 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $6.40 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $6.40 | $33.00 | $4.95 | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | MOLINA | MANAGED MEDICAID | $6.40 | $189.00 | $151.20 | 2025-07-23 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Community Care Plan | Healthy Kids | $6.40 | $54.00 | — | 2025-07-30 | 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.