84155 — Total Protein Level, Blood
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Total protein level, blood (CPT 84155) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/84155?code_type=CPT
MLA (9th ed.)
“Total protein level, blood (CPT 84155) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/84155?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Total protein level, blood (CPT 84155) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/84155?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$41 (25th–75th percentile) across 3,255 hospitals · 11,279 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 84155 — 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
$4
$14 typical
$41
The middle 50% of negotiated facility rates for this procedure, measured across 3,255 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $14 |
| Likely subtotal | $14 |
Facility charge (no separate professional fee)
$14
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $34.00 | $28.90 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $45.00 | $38.25 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $88.00 | $74.80 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $34.00 | $28.90 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $88.00 | $74.80 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $284.10 | $142.05 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $284.10 | $142.05 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $533.43 | $346.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $533.43 | $346.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $533.43 | $346.73 | 2025-11-26 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.08 | $2.17 | $1.30 | 2026-02-17 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.11 | $2.96 | $0.56 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.11 | $2.96 | $0.44 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.11 | $2.96 | $0.80 | 2026-01-31 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.11 | $2.96 | $0.44 | 2026-01-25 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.11 | $113.00 | $41.81 | 2026-03-31 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.12 | $3.24 | $0.49 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.12 | $3.24 | $0.87 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.12 | $3.24 | $0.62 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.12 | $3.24 | $2.14 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.12 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.12 | $164.63 | $164.63 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.12 | $115.12 | $115.12 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.12 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.12 | $3.24 | $0.49 | 2026-01-25 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.12 | $115.12 | $115.12 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.12 | $3.24 | $2.14 | 2026-01-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.13 | $69.85 | $41.91 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.13 | $69.85 | $41.91 | 2025-08-11 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.15 | $150.10 | $45.03 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $41.00 | $38.95 | 2026-02-20 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.15 | $150.10 | $45.03 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.15 | $150.10 | $45.03 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.15 | $150.10 | $45.03 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.15 | $150.10 | $45.03 | 2026-04-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.18 | $5.00 | $185.00 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.18 | $5.00 | $185.00 | 2026-04-02 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.19 | $177.29 | $177.29 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.20 | $41.00 | $38.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.20 | $41.00 | $38.95 | 2026-02-20 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.22 | $6.00 | $6.00 | 2026-02-09 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.22 | $6.00 | $6.00 | 2026-02-09 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.23 | $6.14 | $3.68 | 2026-02-17 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.24 | $4.00 | $1.60 | 2026-05-14 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $145.93 | $94.85 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $145.93 | $94.85 | 2025-11-26 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.24 | $4.00 | $1.60 | 2026-05-23 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.26 | $7.00 | $7.00 | 2026-02-09 | MRF ↗ |
| BAY AREA HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.26 | $7.00 | $5.25 | 2026-02-23 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.26 | $7.00 | $7.00 | 2026-02-09 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $0.28 | $70.00 | $56.00 | 2026-03-26 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.29 | $8.00 | $8.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.29 | $8.00 | $8.00 | 2026-02-10 | MRF ↗ |
| BAY AREA HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.29 | $8.00 | $6.00 | 2026-02-23 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.29 | $8.00 | $6.00 | 2026-03-26 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.29 | $8.00 | $8.00 | 2026-02-10 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $0.30 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $0.30 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $0.30 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $0.30 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | $0.30 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $0.30 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | HMO | $0.33 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | $0.33 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | $0.33 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | $0.33 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.33 | $9.00 | — | 2025-03-14 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | $0.33 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna | HMO | $0.36 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna | PPO | $0.36 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.37 | $10.00 | $6.50 | 2026-03-27 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.37 | $10.00 | $6.50 | 2026-04-23 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.37 | $10.00 | $7.50 | 2026-05-08 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.37 | $10.00 | $6.50 | 2026-04-23 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.37 | $34.00 | $22.10 | 2025-01-01 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.37 | $10.00 | $6.50 | 2026-03-27 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.37 | $34.00 | $22.10 | 2025-01-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.40 | $11.00 | $185.00 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.40 | $11.00 | $185.00 | 2026-04-02 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $0.43 | $11.76 | $11.76 | 2025-05-29 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.44 | $12.00 | $12.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.44 | $12.00 | $12.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.44 | $12.00 | $12.00 | 2026-02-10 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $0.44 | $12.00 | $12.00 | 2026-01-15 | MRF ↗ |
| Riverside Community Hospital Outpatient | Health Net | COMM | $0.45 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| PURCELL MUNICIPAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.45 | $12.16 | $7.30 | 2026-02-24 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.47 | $12.82 | $12.82 | 2026-03-02 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $0.48 | $6.00 | — | 2025-11-10 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $0.50 | $5.00 | $2.86 | 2026-02-28 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $0.50 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $0.50 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $0.50 | — | — | 2025-08-01 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.51 | $14.00 | $11.90 | 2026-03-11 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $0.52 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $0.52 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $0.52 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $0.52 | — | — | 2025-08-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | United | OptionsPPO | $0.53 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $0.53 | $14.55 | $9.17 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $0.53 | $14.55 | $9.17 | 2026-03-25 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.55 | $5.00 | $1.37 | 2026-02-28 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $0.55 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $0.55 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $0.55 | — | — | 2026-03-01 | 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 ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $0.55 | $5.00 | $1.37 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.56 | $2.96 | $0.80 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.56 | $2.96 | $0.80 | 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 | $0.56 | $2.96 | $0.80 | 2026-01-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Fidelis | Medicare Advantage | $0.59 | $0.99 | $0.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Fidelis | Health Benefit Exchange | $0.59 | $0.99 | $0.50 | 2025-12-31 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.59 | $16.00 | $8.26 | 2025-06-10 | MRF ↗ |
| Perry Hospital Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.59 | $16.00 | $8.26 | 2025-06-10 | MRF ↗ |
| PUTNAM COUNTY HOSPITAL Outpatient | INDIANA UNIVERSITY PLAN | INDIANA UNIVERSITY PLAN | $0.61 | $16.64 | $14.14 | 2025-11-08 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $145.93 | $94.85 | 2025-11-26 | MRF ↗ |
| PUTNAM COUNTY HOSPITAL Outpatient | INDIANA UNIVERISTY QHP | INDIANA UNIVERISTY QHP | $0.61 | $16.64 | $14.14 | 2025-11-08 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $0.62 | — | — | 2025-08-01 | 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 | $0.62 | $3.24 | $0.87 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.62 | $3.24 | $0.87 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.62 | $3.24 | $0.87 | 2026-01-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.63 | $79.00 | — | 2026-03-31 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.63 | $7.83 | $1.41 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BC MEDICARE | BC MEDICARE | $0.63 | $3.14 | $0.94 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $0.63 | $3.14 | $0.94 | 2026-01-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.63 | $7.83 | $1.41 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $0.63 | $3.14 | $0.94 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BC MEDICARE | BC MEDICARE | $0.65 | $3.24 | $0.97 | 2026-01-25 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.65 | $125.00 | $87.50 | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.65 | $125.00 | $87.50 | 2025-08-08 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $0.65 | $3.24 | $0.97 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $0.65 | $3.24 | $0.97 | 2026-01-25 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $0.66 | $18.00 | $9.00 | 2026-02-18 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.66 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.66 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.66 | $18.00 | $6.30 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.66 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | CARESOURCE OH MARKETPLACE | CARESOURCE OH MARKETPLACE | $0.66 | $18.00 | $18.00 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.66 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.66 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.66 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.67 | $119.00 | $59.03 | 2026-02-28 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $0.67 | $2.58 | $0.18 | 2026-01-25 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.67 | $33.50 | — | 2026-03-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.67 | $119.00 | $59.03 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.68 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.68 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.68 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.68 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.68 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | HMO | $0.68 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | PPO | $0.68 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $0.68 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Health Partners | All Plans | $0.68 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $0.68 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $0.68 | — | — | 2025-10-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $0.68 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $0.68 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.68 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Aetna | PPO | $0.68 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $0.68 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | United Healthcare | PPO | $0.68 | $0.76 | $0.38 | 2026-03-17 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.68 | $2.50 | $1.63 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.68 | $2.50 | $1.63 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.69 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.69 | $3.14 | $0.94 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.69 | $3.14 | $1.13 | 2026-01-24 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $0.69 | $18.70 | $17.77 | 2026-02-17 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | BLUE CROSS OF WA/AK - ALL PLANS | BLUE CROSS OF WA/AK - ALL PLANS | $0.69 | $18.70 | $17.77 | 2026-02-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $0.70 | $5.00 | $1.40 | 2026-02-28 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Kaiser | Medicare | $0.70 | $4.00 | $1.60 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Kaiser | Medicare | $0.70 | $4.00 | $1.60 | 2026-05-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $0.70 | $5.00 | $1.40 | 2026-02-28 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.70 | $35.00 | — | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.71 | $3.24 | $0.97 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.71 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.71 | $3.24 | $0.65 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.71 | $3.24 | $1.17 | 2026-01-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $0.71 | — | — | 2025-10-24 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $0.72 | $2.96 | $0.80 | 2026-01-31 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $0.73 | $56.00 | $35.06 | 2026-02-12 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | CARESOURCE OH MARKETPLACE | CARESOURCE OH MARKETPLACE | $0.73 | $20.00 | $20.00 | 2026-02-25 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | All Products | $0.74 | $0.99 | $0.50 | 2025-12-31 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | $0.74 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | $0.74 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | $0.74 | $1.70 | $0.85 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | $0.74 | $1.70 | $0.85 | 2026-03-17 | 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.