86378 — Migration Inhibitory Factor
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Migration inhibitory factor (CPT 86378) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86378?code_type=CPT
MLA (9th ed.)
“Migration inhibitory factor (CPT 86378) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86378?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Migration inhibitory factor (CPT 86378) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86378?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $24–$84 (25th–75th percentile) across 371 hospitals · 272 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86378 — 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
$24
$38 typical
$84
The middle 50% of negotiated facility rates for this procedure, measured across 371 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $38 |
| Likely subtotal | $38 |
Facility charge (no separate professional fee)
$38
- 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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $0.43 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $0.71 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.76 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.80 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| DOCTORS' CENTER BAYAMON Outpatient | Humana | Commercial | $5.00 | $80.00 | $80.00 | 2025-10-20 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Individual Network - Tmsh | $6.30 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Small Group Network - Tmsh | $6.30 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Ppo/Epo - Tmsh | $6.30 | — | — | 2026-04-01 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $6.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $6.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $6.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $6.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $6.45 | — | — | 2025-12-05 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $8.33 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $8.33 | — | — | 2025-12-27 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Anthem | Tiered/Pathway Commercial | $8.52 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Anthem | Commercial | $8.52 | — | — | 2025-05-17 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Anthem | Commercial | $8.52 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Anthem | Pathway Commercial | $8.52 | — | — | 2025-05-15 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Anthem | Pathway Commercial | $8.52 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Anthem | Tiered/Pathway Commercial | $8.52 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Anthem | Blue Access Commercial | $8.52 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Anthem | Blue Access Commercial | $8.52 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Anthem | Tiered/Pathway Commercial | $8.52 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Anthem | Blue Access Commercial | $8.52 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Anthem | Blue Access Commercial | $8.52 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Anthem | Tiered/Pathway Commercial | $8.52 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Anthem | Commercial | $8.52 | — | — | 2025-05-15 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Anthem | Blue Access Commercial | $8.52 | — | — | 2025-05-19 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $9.26 | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Commercial | $9.29 | — | — | 2026-05-06 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $12.05 | — | — | 2026-04-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $12.15 | — | — | 2024-10-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $12.15 | — | — | 2026-03-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Hmo | $12.60 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Ppo | $12.60 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | All Commercial Plans | $12.60 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. Outpatient | COVENTRY CITY OF WICHITA | 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001 | $13.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. Outpatient | COVENTRY CITY OF WICHITA | 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001 | $13.52 | — | — | 2026-01-01 | MRF ↗ |
| VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC Outpatient | COVENTRY CITY OF WICHITA | 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001 | $13.52 | — | — | 2026-01-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $13.59 | — | — | 2026-04-01 | MRF ↗ |
| NGMC BARROW, LLC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $13.59 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $13.59 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $13.59 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $13.59 | — | — | 2026-01-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $13.59 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Outpatient | COMMUNITY PLAN | 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $13.80 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA MEDICAID | 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MI CHILD | 3793_BOMC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | BLUE CAID | 3789_BOMC MEDICAID REPLACEMENT BLUE CAID COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | AETNA MEDICAID | 3788_BOMC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA MEDICAID | 3812_BOLE MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MEDICAID HMO | 3791_BOMC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MERIDIAN MEDICAID | 3792_BOMC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BLUE CAID | 3813_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MOLINA MEDICAID | 3794_BOMC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3260_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3261_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | UHC MCD | 3796_BOMC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Inpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3262_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID REPLACEMENT | 3256_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Both | AETNA MEDICAID | 3806_BOAH MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3257_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3258_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | UHC MCD | 3817_BOLE MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | PRIORITY MCD | 3795_BOMC MEDICAID REPLACEMENT PRIORITY HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | COVENTRY CARES | 3790_BOMC MEDICAID REPLACEMENT COVENTRY CARES OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3255_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | UHC MCD | 3809_BOAH MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3260_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MEDICAID HMO | 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BLUE CAID | 3807_BOAH MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3255_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3261_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | MOLINA MEDICAID | 3810_BOAH MOLINA MEDICAID OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MOLINA MEDICAID | 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BLUE CAID | 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MOLINA MEDICAID | 3816_BOLE MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MI CHILD | 3815_BOLE MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | BLUE CAID | 3813_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | UHC MCD | 3809_BOAH MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MI CHILD | 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MI CHILD | 3815_BOLE MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | UHC MCD | 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MEDICAID HMO | 3814_BOLE MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA MEDICAID | 3812_BOLE MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BLUE CAID | 3661_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE INPATIENT 20241001 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | AETNA MEDICAID | 3806_BOAH MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3808_BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3258_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3808_BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | MOLINA MEDICAID | 3810_BOAH MOLINA MEDICAID OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MEDICAID HMO | 3814_BOLE MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3262_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID REPLACEMENT | 3256_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | BLUE CAID | 3807_BOAH MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | UHC MCD | 3817_BOLE MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3257_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20240701 | $13.96 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MOLINA MEDICAID | 3816_BOLE MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Both | BLUE CAID | 3661_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE INPATIENT 20241001 | $13.96 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $14.25 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $14.43 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $14.43 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $14.47 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $14.47 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $14.47 | — | — | 2025-06-27 | 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.