86695 — Analysis For Antibody To Herpes Simplex Virus, Type 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Analysis for antibody to Herpes simplex virus, type 1 (CPT 86695) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86695?code_type=CPT
MLA (9th ed.)
“Analysis for antibody to Herpes simplex virus, type 1 (CPT 86695) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86695?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Analysis for antibody to Herpes simplex virus, type 1 (CPT 86695) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86695?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13–$75 (25th–75th percentile) across 3,749 hospitals · 9,937 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86695 — 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
$13
$29 typical
$75
The middle 50% of negotiated facility rates for this procedure, measured across 3,749 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $29 |
| Likely subtotal | $29 |
Facility charge (no separate professional fee)
$29
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 $13–$75.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $147.00 | $124.95 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $102.34 | $51.17 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $147.00 | $124.95 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $76.00 | $64.60 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $76.00 | $64.60 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $102.34 | $51.17 | 2024-12-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | HIX | $0.13 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Simply Healthcare Plans | MGMCR | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL- NEW ORLEANS, LLC Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | $97.62 | — | 2025-06-16 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL - CENTRAL Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | — | $97.62 | 2025-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Freedom Health | MGMCD | $0.16 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Molina | MCR | $0.17 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | Focus | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | Select | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | Flex | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | HMO | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | Empower | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | Engage | $0.21 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | FullyInsured | $0.22 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $0.23 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $0.23 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Health Sun Health Plan | MGMCR | $0.23 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $0.23 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $0.23 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $0.23 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | MMM of FL (Health Advantage Plan) | MCR | $0.23 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $0.23 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $35.07 | $22.79 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $35.07 | $22.79 | 2025-11-26 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.25 | $5.00 | $3.50 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | United PPO | OptionsPPO | $0.25 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | ASOEO | $0.25 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.25 | $5.00 | $3.50 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Molina | HIX | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.28 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $0.28 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.30 | $6.00 | $4.20 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.30 | $6.00 | $4.20 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $0.31 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.31 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $0.33 | $10.90 | $10.90 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $0.33 | $10.90 | $10.90 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $0.34 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $0.34 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $0.34 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | PPO | $0.34 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | BLIS | COMM | $0.35 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Freedom Health | MCR | $0.37 | $5.10 | $5.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Optimum | MGMCR | $0.37 | $5.10 | $5.10 | 2026-03-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Outpatient | Molina | Molina Medi-Cal | $0.38 | $6.00 | $4.50 | 2025-07-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.40 | $75.00 | $27.75 | 2026-03-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.40 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.41 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | AvMed | HIX | $0.41 | $5.10 | $5.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.42 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | HIX | $0.43 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.44 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.44 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.44 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| HIALEAH HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $0.45 | $14.90 | $14.90 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $0.45 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.46 | $92.64 | $55.58 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.46 | $92.64 | $55.58 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.46 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.46 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.47 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.47 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.47 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.47 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.48 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.48 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.48 | $9.52 | $6.66 | 2026-05-27 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.48 | $3.63 | $2.18 | 2026-02-17 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.48 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.48 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.48 | $9.52 | $6.66 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.48 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.49 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.49 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Plotkin Health | WORKERSCOMP | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Beacon Health Options | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.50 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Doctors Healthcare Plan | MCR | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Prime Health Sherriff | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | AvMed | JacksonFirstNetworkOON | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | District Cares | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.51 | $10.00 | $10.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.52 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $0.52 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.52 | $10.26 | $10.26 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.52 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Freedom Health Care | MGMGR | $0.52 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.53 | $6.66 | $1.20 | 2026-02-25 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.53 | $6.66 | $6.66 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.53 | $11.29 | $11.29 | 2026-03-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.53 | $6.66 | $1.20 | 2026-02-25 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.56 | $12.01 | $12.01 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.56 | $57.00 | $57.00 | 2026-06-05 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.57 | $11.37 | $7.96 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.57 | $11.37 | $7.96 | 2026-05-27 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.58 | $4.39 | $2.63 | 2026-02-17 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $0.58 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $0.58 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $0.58 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Medica HealthCare | MCR | $0.59 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.60 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.60 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $35.07 | $22.79 | 2025-11-26 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.62 | $161.00 | $161.00 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Optimum Healthcare | PPO | $0.62 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.62 | $161.00 | $161.00 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Freedom Health Care | MCR | $0.62 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.62 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.62 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.62 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.62 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.62 | $224.00 | $224.00 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $106.00 | — | 2026-07-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Molina | MCR | $0.63 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $0.64 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $0.64 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $0.64 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $0.64 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.64 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $0.64 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.64 | $5.00 | — | 2026-07-31 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $0.64 | $1.16 | $0.81 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.65 | $10.00 | $10.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Optimum Healthcare | PPO | $0.65 | $10.00 | $10.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Freedom Health Care | MCR | $0.65 | $10.00 | $10.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.65 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.65 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.65 | $10.00 | $10.00 | 2024-10-01 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Wellpath | Commercial | $0.68 | $1.35 | $1.35 | 2026-02-25 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | NOMI HEALTH - ALL PLANS | NOMI HEALTH - ALL PLANS | $0.69 | $5.23 | $3.14 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.69 | $5.23 | $3.14 | 2026-05-05 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.69 | $42.93 | $42.93 | 2026-03-18 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.69 | $5.00 | — | 2026-07-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.69 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.70 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.70 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | PFFS | $0.70 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Freedom Health Care | MCR | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Freedom Health Care | MGMGR | $0.70 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Optimum Healthcare | PPO | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Freedom Health Care | MCR | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Optimum Healthcare | PPO | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRPPO | $0.70 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRHMO | $0.70 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.70 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $0.72 | $9.00 | — | 2025-11-10 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.72 | $14.28 | $10.00 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | AvMed | HIX | $0.72 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.72 | $14.28 | $10.00 | 2026-05-27 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.72 | $5.00 | — | 2026-07-31 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.72 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | HIX | $0.72 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.72 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.72 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | COVENTRY | All Products | $0.76 | $4.23 | $2.75 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | COVENTRY | All Products | $0.76 | $4.23 | $2.75 | 2025-01-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | ALL PRODUCTS | $0.77 | $2.74 | $1.92 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDI-CAL | $0.77 | $2.74 | $1.92 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Freedom Health Care | MGMGR | $0.78 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $0.78 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.78 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.78 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.78 | $16.50 | $16.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Simply | MGMCR | $0.79 | $5.10 | $5.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Freedom Health Care | MCR | $0.80 | $10.26 | $10.26 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Prime Health | PPO | $0.80 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Optimum Healthcare | PPO | $0.80 | $10.26 | $10.26 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HIX | $0.80 | $10.00 | $10.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Amerihealth Caritas | QHP | $0.80 | $5.00 | $3.50 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.80 | $10.26 | $10.26 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Evernorth BH | COMM | $0.80 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.80 | $10.26 | $10.26 | 2024-10-01 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Commercial | $0.80 | $1.35 | $1.35 | 2026-02-25 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Amerihealth Caritas | QHP | $0.80 | $5.00 | $3.50 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.81 | $11.29 | $11.29 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | AvMed | HIX | $0.81 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.81 | $5.00 | — | 2025-07-30 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | AvMed | HIX | $0.81 | $8.99 | $8.99 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.81 | $11.29 | $11.29 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.83 | $16.54 | $11.58 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Select | $0.83 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.83 | $16.54 | $11.58 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Focus | $0.83 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Flex | $0.83 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | FullyInsured | $0.83 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Engage | $0.83 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Aetna | MCR | $0.83 | $12.01 | $12.01 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Empower | $0.83 | $3.33 | $3.33 | 2024-10-01 | 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.