85610 — Prothrombin Time
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROTHROMBIN TIME (CPT 85610) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/85610?code_type=CPT
MLA (9th ed.)
“PROTHROMBIN TIME (CPT 85610) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/85610?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PROTHROMBIN TIME (CPT 85610) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/85610?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$51 (25th–75th percentile) across 3,381 hospitals · 11,740 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 85610 — 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
$5
$19 typical
$51
The middle 50% of negotiated facility rates for this procedure, measured across 3,381 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $19 |
| Likely subtotal | $19 |
Facility charge (no separate professional fee)
$19
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $207.27 | $103.64 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $108.00 | $91.80 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $37.00 | $31.45 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $207.27 | $103.64 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $108.00 | $91.80 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $84.00 | $71.40 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $84.00 | $71.40 | 2025-01-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.07 | $76.03 | $45.62 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.07 | $76.03 | $45.62 | 2025-08-11 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.13 | $130.20 | $39.06 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.13 | $130.20 | $39.06 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.13 | $130.20 | $39.06 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.13 | $130.20 | $39.06 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.13 | $130.20 | $39.06 | 2026-04-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.13 | $124.00 | $45.88 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.15 | $3.58 | $2.15 | 2026-05-05 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.15 | $3.49 | $0.52 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.49 | $2.30 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.15 | $3.49 | $0.66 | 2026-01-25 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | NOMI HEALTH - ALL PLANS | NOMI HEALTH - ALL PLANS | $0.15 | $3.58 | $2.15 | 2026-05-05 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.15 | $3.49 | $0.52 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.49 | $0.94 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.49 | $2.30 | 2026-01-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.16 | $76.03 | $45.62 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.16 | $76.03 | $45.62 | 2025-08-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.17 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.22 | $177.29 | $177.29 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.23 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.23 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $0.26 | $12.00 | $9.60 | 2026-03-26 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.27 | $6.36 | $0.95 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.27 | $6.36 | $0.95 | 2026-01-25 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.30 | $7.00 | $5.25 | 2026-02-02 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.31 | $7.25 | $4.79 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.31 | $7.25 | $4.79 | 2026-01-07 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.34 | $8.00 | $8.00 | 2026-02-09 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.34 | $8.00 | $1.20 | 2026-01-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.34 | $4.29 | $0.77 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.34 | $8.00 | $2.88 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.34 | $8.00 | $1.52 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.34 | $8.00 | $2.16 | 2026-01-31 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.34 | $8.00 | $1.20 | 2026-01-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.34 | $4.29 | $0.77 | 2026-02-25 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.34 | $8.00 | $8.00 | 2026-02-09 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.34 | $8.00 | $2.88 | 2026-01-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.36 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.36 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $0.39 | $3.53 | $1.38 | 2026-02-28 | MRF ↗ |
| PURCELL MUNICIPAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.39 | $9.09 | $5.45 | 2026-02-24 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.39 | $3.53 | $0.97 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRPPO | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.39 | $9.00 | $6.75 | 2026-02-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.39 | $9.00 | $185.00 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.39 | $9.00 | $185.00 | 2026-04-02 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $0.39 | $3.53 | $0.97 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.39 | $3.53 | $0.97 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | PFFS | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Freedom Health Care | MGMGR | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRHMO | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.40 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | HIX | $0.40 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $0.40 | $5.00 | — | 2025-11-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.42 | $9.80 | $9.80 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.42 | $9.80 | $9.80 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.42 | $9.80 | $9.80 | 2026-02-10 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.43 | $21.00 | $13.65 | 2025-01-01 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.43 | $10.00 | $7.50 | 2026-05-08 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.43 | $21.00 | $13.65 | 2025-01-01 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $0.43 | $10.00 | $5.00 | 2026-02-18 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.47 | $11.00 | $185.00 | 2026-04-02 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | NHN/MNA-ALL PLANS | NHN/MNA-ALL PLANS | $0.47 | $11.00 | $9.90 | 2026-01-23 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.47 | $11.00 | $185.00 | 2026-04-02 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.47 | $11.00 | $8.25 | 2026-02-02 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $0.47 | $11.00 | $9.90 | 2026-01-23 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | COMM | — | $122.98 | $122.98 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | BCBS | Bcbs Med Advantage | $0.48 | $21.00 | — | 2024-12-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.49 | $48.00 | $31.20 | 2026-03-14 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $0.50 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $0.50 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $0.50 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $0.50 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $0.50 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.51 | $12.00 | $12.00 | 2026-02-09 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.51 | $12.00 | $12.00 | 2026-02-09 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $103.19 | $67.07 | 2025-11-26 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $0.54 | — | — | 2025-08-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $0.54 | — | — | 2025-08-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $0.54 | — | — | 2025-08-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.54 | $27.00 | — | 2026-03-31 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | $0.55 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | $0.55 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $0.55 | — | — | 2025-08-01 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | HMO | $0.55 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | $0.55 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $0.55 | — | — | 2025-08-01 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | $0.55 | $1.26 | $0.63 | 2026-03-17 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.56 | $13.00 | $13.00 | 2026-02-09 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $0.56 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $0.56 | — | — | 2025-08-01 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | $9.00 | $4.50 | 2026-06-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $0.59 | — | — | 2025-10-24 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.60 | $14.00 | $14.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.60 | $14.00 | $14.00 | 2026-02-10 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901, SECUREHORIZONS DIRECT 130902, UHC MEDICARE COMPLETE WELLMED 130905 | $0.60 | — | — | 2026-01-01 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.60 | $14.00 | $14.00 | 2026-02-10 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901, SECUREHORIZONS DIRECT 130902, UHC MEDICARE COMPLETE WELLMED 130905 | $0.60 | — | — | 2026-01-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $0.62 | — | — | 2025-10-24 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $0.64 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $0.64 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $0.64 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.66 | $3.49 | $0.94 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.66 | $3.49 | $0.94 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.66 | $15.30 | $5.51 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.66 | $15.30 | $5.51 | 2026-01-24 | 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 | $0.66 | $3.49 | $0.94 | 2026-01-31 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $0.67 | $6.66 | $3.81 | 2026-02-28 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $0.67 | — | — | 2025-08-01 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $0.68 | $15.92 | $15.12 | 2026-02-17 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | BLUE CROSS OF WA/AK - ALL PLANS | BLUE CROSS OF WA/AK - ALL PLANS | $0.68 | $15.92 | $15.12 | 2026-02-17 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.69 | $16.00 | $10.40 | 2026-04-23 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.69 | $16.00 | $10.40 | 2026-03-27 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $0.69 | $16.00 | $10.40 | 2026-04-23 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $0.70 | $7.00 | $4.00 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $0.70 | $3.49 | $1.05 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $0.70 | $3.49 | $1.05 | 2026-01-25 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.71 | $16.50 | $185.00 | 2026-04-02 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BC MEDICARE | BC MEDICARE | $0.71 | $3.49 | $1.05 | 2026-01-25 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.71 | $16.50 | $185.00 | 2026-04-02 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Standard | $0.72 | $11.37 | $8.53 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Exchange | $0.72 | $11.37 | $8.53 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $0.72 | $11.37 | $8.53 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Epic Americas | AXA Assistance | $0.72 | $11.37 | $8.53 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.73 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.73 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $0.73 | $16.94 | $16.94 | 2025-05-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.73 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.73 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.73 | $17.00 | $4.59 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.73 | $17.00 | $4.59 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.73 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.73 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $0.74 | $6.66 | $2.60 | 2026-02-28 | MRF ↗ |
| Perry Hospital Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.74 | $17.16 | $9.65 | 2025-06-10 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.74 | $125.00 | — | 2026-03-31 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.74 | $17.16 | $9.65 | 2025-06-10 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.74 | $6.66 | $1.83 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $0.74 | $6.66 | $1.83 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $0.74 | $6.66 | $1.83 | 2026-02-28 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Humana | MCR | — | $15.87 | $15.87 | 2026-03-01 | MRF ↗ |
| GREENWOOD COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.75 | $17.50 | $14.00 | 2026-03-03 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.76 | $3.49 | $0.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.76 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.76 | $64.00 | $44.80 | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.76 | $64.00 | $44.80 | 2025-08-08 | MRF ↗ |
| ADVENTIST HEALTH TWIN CITIES Outpatient | UHC HMO | UHC HMO | $0.76 | $2.25 | $0.16 | 2026-01-10 | MRF ↗ |
| ADVENTIST HEALTH TWIN CITIES Outpatient | UHC PPO | UHC PPO | $0.76 | $2.25 | $0.16 | 2026-01-10 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.76 | $3.49 | $1.26 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH TWIN CITIES Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.76 | $2.25 | $0.16 | 2026-01-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Simply Healthcare | MGMCR | $0.77 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.77 | $18.00 | $6.30 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MED ADV | HEALTHNET MED ADV | $0.77 | $4.29 | $0.77 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.77 | $3.49 | $1.05 | 2026-01-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HUMANA MED ADV - ALL PLANS | HUMANA MED ADV - ALL PLANS | $0.77 | $4.29 | $0.77 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH TWIN CITIES Outpatient | HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $0.77 | $2.25 | $0.16 | 2026-01-10 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $0.77 | $4.29 | $0.77 | 2026-02-25 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.78 | $73.00 | $36.21 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.78 | $73.00 | $36.21 | 2026-02-28 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $0.80 | $2.00 | $1.00 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $0.80 | $2.00 | $1.00 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $0.80 | $2.00 | $1.00 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $0.80 | $2.00 | $1.00 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $0.80 | $2.00 | $1.00 | 2026-03-17 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.80 | $5.00 | — | 2025-11-10 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.80 | $77.20 | $77.20 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH TWIN CITIES Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.81 | $2.25 | $0.16 | 2026-01-10 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.81 | $55.00 | $22.00 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.81 | $55.00 | $22.00 | 2026-05-22 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.82 | $19.03 | — | 2025-03-14 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.82 | $19.10 | $19.10 | 2026-03-02 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.82 | $5.00 | — | 2025-11-10 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $0.82 | $19.00 | $14.25 | 2026-02-02 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | United | OptionsPPO | $0.82 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.83 | $3.49 | $0.63 | 2026-01-30 | 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 ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.84 | $5.00 | — | 2025-11-10 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $0.85 | $3.49 | $0.94 | 2026-01-31 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $0.86 | $13.00 | $7.75 | 2026-02-12 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.86 | $20.00 | $7.00 | 2026-02-25 | 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.