86353 — Lymphocyte Transformation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LYMPHOCYTE TRANSFORMATION (CPT 86353) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86353?code_type=CPT
MLA (9th ed.)
“LYMPHOCYTE TRANSFORMATION (CPT 86353) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86353?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LYMPHOCYTE TRANSFORMATION (CPT 86353) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86353?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51–$343 (25th–75th percentile) across 2,420 hospitals · 6,280 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86353 — 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
$51
$130 typical
$343
The middle 50% of negotiated facility rates for this procedure, measured across 2,420 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $130 |
| Likely subtotal | $130 |
Facility charge (no separate professional fee)
$130
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 $51–$343.
- 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $376.24 | $188.12 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $376.24 | $188.12 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $110.00 | $82.50 | 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 BY SUNSHINE HIX | $0.27 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.34 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.48 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.53 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.53 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.53 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.58 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.59 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.59 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.59 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $290.00 | — | 2026-07-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.68 | $69.00 | $69.00 | 2026-06-05 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $338.00 | $219.70 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $338.00 | $219.70 | 2026-06-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA WORKERS COMP | $0.95 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.99 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $868.00 | $651.00 | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $106.00 | $79.50 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $868.00 | $651.00 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $497.00 | $372.75 | 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 | BCBS TRUST PPO | $1.00 | $868.00 | $651.00 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $1,042.00 | $781.50 | 2026-06-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $868.00 | $651.00 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,938.52 | $1,260.03 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $106.00 | $79.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $106.00 | $79.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $868.00 | $651.00 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $106.00 | $79.50 | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $205.46 | $49.03 | 2026-09-05 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $106.00 | $79.50 | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $497.00 | $372.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $3,793.00 | $2,844.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $110.00 | $82.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $638.00 | $478.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,938.52 | $1,260.03 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $338.00 | $219.70 | 2026-06-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN GENERIC PAYOR [164034] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC AETNA GENERIC PAYOR [164008] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF ANTHEM/XIMED HMO [164022] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC ALLIANCE HMO [164020] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HUMANA HMO [164013] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC AETNA HMO [164001] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA HMO [164033] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS HMO [164002] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE HMO [164005] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY HMO [164030] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC CIGNA GENERIC PAYOR [164007] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN HMO [164035] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HUMANA GENERIC PAYOR [164014] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF MC HUMANA GENERIC PAYOR [164027] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC CIGNA HMO [164003] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF HUMANA/SDSM [164025] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET GENERIC PAYOR [164010] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HNET BLUE&GOLD ACO [164017] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE GENERIC PAYOR [164011] | UC MANAGED CARE | $1.27 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $1.39 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $1.44 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.48 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.48 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.48 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.50 | $84.00 | $31.08 | 2026-03-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $1.52 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.52 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $1.53 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $1.53 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.56 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.57 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.57 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.57 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.60 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.60 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.60 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.60 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.64 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $1.65 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.68 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $1.68 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $1.70 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.70 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.70 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.70 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $1.70 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | PADRES WORKERS COMPENSATION [2013] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $1.71 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | PADRES [2014] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $1.71 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.72 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.74 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.79 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.80 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.80 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.83 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.89 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.89 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.89 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $1.94 | $198.00 | $198.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.94 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.95 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.95 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.96 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.96 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.96 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.99 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.99 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $2.01 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.04 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.07 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.11 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.11 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.15 | $398.80 | $378.86 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.16 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UCR PROMPT PAY PAYOR [8240] | UCSD CHARITY MEDICARE CONTRACT | $2.16 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $2.20 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $2.21 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $2.21 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $122.00 | — | 2025-06-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.24 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.25 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.25 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $2.28 | — | — | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.29 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $2.31 | $45.86 | $32.10 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $2.31 | $45.86 | $32.10 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $2.31 | $45.86 | $32.10 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $2.31 | $45.86 | $32.10 | 2026-05-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.33 | $431.20 | $409.64 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.38 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $2.39 | — | — | 2025-10-24 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $2.40 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $2.44 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $2.46 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $2.46 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.47 | $458.30 | $435.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.50 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.50 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.56 | — | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.56 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.66 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.76 | $511.00 | $485.45 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $2.81 | $287.00 | $287.00 | 2026-06-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | BLUE CROSS OF CALIFORNA PRIORITY SELECT | $3.33 | $10.62 | $5.84 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $262.00 | $78.60 | 2026-09-21 | 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.