86037 — Anca Titer Each Antibody
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANCA TITER EACH ANTIBODY (CPT 86037) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86037?code_type=CPT
MLA (9th ed.)
“ANCA TITER EACH ANTIBODY (CPT 86037) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86037?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ANCA TITER EACH ANTIBODY (CPT 86037) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86037?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12–$50 (25th–75th percentile) across 2,601 hospitals · 6,088 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86037 — 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
$12
$20 typical
$50
The middle 50% of negotiated facility rates for this procedure, measured across 2,601 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $20 |
| Likely subtotal | $20 |
Facility charge (no separate professional fee)
$20
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 $12–$50.
- 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 | — | — | — | $139.42 | $69.71 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $61.00 | $51.85 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $139.42 | $69.71 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $61.00 | $51.85 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $61.00 | $51.85 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $61.00 | $51.85 | 2025-01-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.14 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $0.18 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.20 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.21 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.22 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.22 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.23 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $5.78 | $4.34 | 2026-09-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.24 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.24 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.24 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.27 | $28.00 | $28.00 | 2026-06-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $5.78 | $4.34 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $5.78 | $4.34 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $0.34 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Ambetter | Commercial-Exchange | $0.49 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $0.50 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $0.50 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | WPPA ProviDrs Care Network | UnifiedHealthPlan | $0.53 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.54 | $48.00 | $19.20 | 2026-07-18 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | ASO | $0.56 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | HMO | $0.56 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | EPO | $0.56 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $0.61 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $28.00 | — | 2026-07-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.63 | — | — | 2026-03-18 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $0.67 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH SIERRA VISTA Outpatient | HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $0.68 | $2.00 | $0.18 | 2026-10-07 | MRF ↗ |
| ADVENTIST HEALTH SIERRA VISTA Outpatient | UHC PPO | UHC PPO | $0.69 | $2.00 | $0.18 | 2026-10-07 | MRF ↗ |
| ADVENTIST HEALTH SIERRA VISTA Outpatient | UHC HMO | UHC HMO | $0.69 | $2.00 | $0.18 | 2026-10-07 | MRF ↗ |
| ADVENTIST HEALTH SIERRA VISTA Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.69 | $2.00 | $0.18 | 2026-10-07 | MRF ↗ |
| USC ARCADIA HOSPITAL Outpatient | Self-Pay | Self-Pay | $0.70 | $2.00 | $0.70 | 2026-10-16 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | PPO | $0.70 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | POS | $0.70 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.76 | $142.00 | $142.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.76 | $142.00 | $142.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.76 | $142.00 | $142.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.78 | $147.00 | $147.00 | 2026-07-15 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.78 | $13.00 | $5.20 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.78 | $13.00 | $5.20 | 2026-05-14 | MRF ↗ |
| ADVENTIST HEALTH SIERRA VISTA Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.78 | $2.00 | $0.18 | 2026-10-07 | MRF ↗ |
| LOWER KEYS MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.79 | $2.94 | $0.79 | 2026-07-15 | MRF ↗ |
| USC ARCADIA HOSPITAL Outpatient | Self-Pay - Non-Ca Resident | Self-Pay - Non-Ca Resident | $0.80 | $2.00 | $0.70 | 2026-10-16 | MRF ↗ |
| USC ARCADIA HOSPITAL Outpatient | Self-Pay - Ca Resident | Self-Pay - Ca Resident | $0.80 | $2.00 | $0.70 | 2026-10-16 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | TRIWEST HEALTHCARE ALLIANCE [1409] | COMMUNITY CARE NETWORK [140900] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | ABOVE FPIL COOK CHIP PERINATE [138003] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | BELOW FPIL COOK CHIP PERINATE [138004] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | WELLPOINT STAR [100700] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH MEDICAID [131700] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $0.84 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $0.84 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $0.84 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND CHIP PERINATE [1320] | ABOVE FPIL CHIP PERINATE [132002] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA HEALTHCARE [1004] | AETNA [100400] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Outpatient | Self Pay | Self Pay | $0.84 | $12.05 | $2.89 | 2026-07-15 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM BothFacility | CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $0.84 | $4.00 | $1.60 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR MEDICAID [138300] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | CIGNA [1021] | CIGNA [102100] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | HEALTHFIRST STAR MEDICAID [105600] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND CHIP PERINATE [1320] | BELOW FPIL CHIP PERINATE [132001] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $0.84 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA STAR PLUS [138200] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN CHIP PERINATE POST PARTUM [138002] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $0.84 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA STAR MEDICAID [138204] | — | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $0.84 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM BothFacility | PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $0.85 | $4.00 | $1.60 | 2026-05-29 | MRF ↗ |
| USC ARCADIA HOSPITAL Outpatient | Healthcare Partners | Healthcare Partners | $0.87 | $2.00 | $0.70 | 2026-10-16 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $0.88 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $0.88 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| ORANGE COUNTY GLOBAL MEDICAL CENTER Outpatient | Ihhi | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-08-01 | MRF ↗ |
| ORANGE COUNTY GLOBAL MEDICAL CENTER Outpatient | Ihhi | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Outpatient | Ihhi Reciprocity | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| ORANGE COUNTY GLOBAL MEDICAL CENTER Outpatient | Ihhi | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-20 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Outpatient | Ihhi Reciprocity | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-20 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Ihhi | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Outpatient | Ihhi Reciprocity | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Ihhi | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Outpatient | Ihhi Reciprocity | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Outpatient | Ihhi Reciprocity | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-10-12 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Ihhi | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-09-21 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Outpatient | Ihhi Reciprocity | Ihhi Reciprocity | $0.90 | $3.00 | $3.00 | 2026-10-05 | MRF ↗ |
| LOWER KEYS MEDICAL CENTER Outpatient | Simply Healthcare | Node Simply Mcr Adv | $0.91 | $2.94 | $0.79 | 2026-07-15 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Universal Healthcare | MCR | $0.93 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetwork | $0.95 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | PC | $0.95 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH SIERRA VISTA Outpatient | BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $0.98 | $2.00 | $0.18 | 2026-10-07 | MRF ↗ |
| East Jefferson General Hospital Outpatient | OPTUM HEALTH BEHAVIORAL SOLUTIONS [1061] | OPTUM HEALTH (BEHAVIORAL HEALTH) [106100] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | PPO PLUS LLC [1069] | PPO PLUS LLC [106901] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TULANE UNIVERSITY [1127] | CENTER FOR BRAIN HEALTH - TULANE [112702] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TULANE ATHLETIC DEPARTMENT [1128] | TU ATHLETE ORTHOPEDIC [112800] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | PPO PLUS LLC [1069] | KEY BENEFIT ADMIN [106900] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TULANE UNIVERSITY [1127] | NFL TRUST PROGRAM - TULANE [112701] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | FIRST HEALTH NETWORK [1073] | FIRST HEALTH [107300] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | FIRST HEALTH NETWORK [1066] | MAIL HANDLERS BEN PLA [106600] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | COVENTRY [1004] | COVENTRY GENERIC [100401] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| East Jefferson General Hospital Outpatient | AETNA [1001] | CHRISTIAN BROTHERS [100106] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | AETNA [1001] | AETNA GENERIC [100103] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | AETNA [1001] | AETNA [100100] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA [1001] | AETNA GENERIC [100103] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | BAYOU MEDICAL MANAGEMENT [1119] | BAYOU MEDICAL MANAGEMENT [111900] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA [100200] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $554.76 | $360.59 | 2025-11-26 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $36.15 | $12.05 | 2026-09-05 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA [1001] | AETNA [100100] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | WC LWCC [5004] | WC LWCC [500400] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | THE HEALTH PLAN [100210] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | FIRST HEALTH NETWORK [1066] | MAIL HANDLERS BEN PLA [106600] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | DIAGNOSTIC MANAGEMENT AFFILIATES [1118] | DIAGNOSTIC MANAGEMENT AFFILIATES [111800] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | PPO PLUS LLC [1069] | PPO PLUS LLC [106901] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | OPTUM HEALTH BEHAVIORAL SOLUTIONS [1061] | OPTUM HEALTH (BEHAVIORAL HEALTH) [106100] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TULANE UNIVERSITY [1127] | CENTER FOR BRAIN HEALTH - TULANE [112702] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | LCMC HOSPICE [1108] | HOSPICE COMPASSUS [110802] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TULANE UNIVERSITY [1127] | NFL TRUST PROGRAM - TULANE [112701] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA ENVOY [100212] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA [100200] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | A P W U [100207] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | WC LWCC [5004] | WC LWCC [500400] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | BLUE CROSS | MY BLUE EX | $1.00 | $6.00 | $3.90 | 2026-03-30 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| East Jefferson General Hospital Outpatient | DIAGNOSTIC MANAGEMENT AFFILIATES [1118] | DIAGNOSTIC MANAGEMENT AFFILIATES [111800] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ERLANGER MURPHY MEDICAL CENTER OutpatientFacility | UNITEDHEALTHCARE | MEDICARE ADVANTAGE | $1.00 | $4.00 | $2.80 | 2026-01-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | PPO PLUS LLC [1069] | KEY BENEFIT ADMIN [106900] | — | $42.00 | $5.88 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | BAYOU MEDICAL MANAGEMENT [1119] | BAYOU MEDICAL MANAGEMENT [111900] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | COVENTRY [1004] | COVENTRY GENERIC [100401] | — | $12.00 | $1.68 | 2026-03-25 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | 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.