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–$76 (25th–75th percentile) across 3,130 hospitals · 10,900 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
$30 typical
$76
The middle 50% of negotiated facility rates for this procedure, measured across 3,130 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $30 |
| Likely subtotal | $30 |
Facility charge (no separate professional fee)
$30
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $76.00 | $64.60 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $102.34 | $51.17 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $102.34 | $51.17 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $147.00 | $124.95 | 2025-01-01 | 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 | VNA Homecare Options | Medicaid | — | $76.00 | $64.60 | 2025-01-01 | 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 ↗ |
| 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 | 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 | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $35.07 | $22.79 | 2025-11-26 | 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $0.31 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.40 | $75.00 | $27.75 | 2026-03-31 | 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 ↗ |
| 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 ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | HIX | $0.43 | $3.33 | $3.33 | 2024-10-01 | 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 | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.47 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.47 | $127.00 | $120.65 | 2026-02-20 | 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.53 | $6.66 | $1.20 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.53 | $6.66 | $1.20 | 2026-02-25 | 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 Traditional | $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 | Health Options Inc | Bcbs Health Options Hmo | $0.55 | $1.00 | $1.00 | 2026-05-22 | 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.60 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.60 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.61 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.61 | $127.00 | $120.65 | 2026-02-20 | 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 ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.62 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $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 HIGHLANDS HOSPITAL Outpatient | Molina | MCR | $0.63 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.64 | $127.00 | $120.65 | 2026-02-20 | 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 ↗ |
| 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 | Aetna Health | Aetna | $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 ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.65 | $127.00 | $120.65 | 2026-02-20 | 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 ↗ |
| 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 ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.69 | $42.93 | $42.93 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.69 | $127.00 | $120.65 | 2026-02-20 | 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $0.70 | $1.00 | $1.00 | 2026-05-22 | 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 PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Freedom Health Care | MGMGR | $0.70 | $8.99 | $8.99 | 2026-03-01 | 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 | MCRPPO | $0.70 | $8.99 | $8.99 | 2026-03-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.70 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRHMO | $0.70 | $8.99 | $8.99 | 2026-03-01 | 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 Inpatient | Dimension Health | Dimension | $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 ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | HIX | $0.72 | $8.99 | $8.99 | 2026-03-01 | 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 ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $0.72 | $9.00 | — | 2025-11-10 | 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 | Beech Street | Beech Street | $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 Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.76 | $1.00 | $1.00 | 2026-05-22 | 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 NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.78 | $16.50 | $16.50 | 2026-03-01 | 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 ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Commercial | $0.80 | $1.35 | $1.35 | 2026-02-25 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.81 | $5.00 | — | 2025-07-30 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Select | $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 | Focus | $0.83 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Empower | $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 HIGHLANDS HOSPITAL Outpatient | AvMed | FullyInsured | $0.83 | $3.33 | $3.33 | 2024-10-01 | 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 ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.85 | $5.00 | — | 2025-07-30 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $0.87 | $6.62 | $185.00 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $0.87 | $6.62 | $185.00 | 2026-04-02 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | HUMANA | MCARE CHOICE PPO | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | UHC | MCARE ADV PLN | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | BC FL | MEDICARE HMO | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | UHC | MCARE ADV DUAL PLAN | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | MEDICARE | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| MACKINAC STRAITS HOSPITAL AND HEALTH CENTER | BLUE CROSS BLUE SHIELD | — | — | $6.88 | $4.13 | 2025-06-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Molina | Molina - Cal Medi-Connect | $0.90 | $6.00 | $4.50 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Humana | Choice Care Network | $0.90 | $6.00 | $4.50 | 2026-04-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.90 | $15.00 | $6.00 | 2026-05-14 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.90 | $3.33 | $2.16 | 2025-01-01 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.90 | $15.00 | $6.00 | 2026-05-23 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | VICTIM COMPENSATION PLAN | VICTIM COMPENSATION PLAN | $0.90 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $0.90 | $9.00 | $5.14 | 2026-02-28 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | MEDICRUZ | MEDICRUZ CLASSIC | $0.90 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.90 | $3.33 | $2.16 | 2025-01-01 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | ASOEO | $0.93 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $0.94 | $5.00 | — | 2025-07-30 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | ALL PRODUCTS | $0.95 | $3.38 | $2.37 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDI-CAL | $0.95 | $3.38 | $2.37 | 2026-04-01 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicare Railroad Palmetto Gba | Default | $0.95 | $185.75 | $148.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Cigna Medicare Advantage | Medicare Advantage | $0.95 | $185.75 | $148.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicare A Mn J6 | Default | $0.95 | $185.75 | $148.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medica Government Plans Medicare Advantage | Medicare Advantage | $0.95 | $185.75 | $148.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medica Choice Care Dos Lt 01012022 Or Snbc | Medicare Advantage | $0.95 | $185.75 | $148.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Bcbs Mn Secure Blue Mcr Adv Dos After 1/1/19 | Medicare Advantage | $0.95 | $185.75 | $148.60 | 2026-05-08 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | HIX | $0.96 | $8.00 | $8.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.97 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $0.97 | $5.00 | — | 2025-07-30 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $0.97 | $1.35 | $1.35 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross | Commercial | $0.98 | $1.35 | $1.35 | 2026-02-25 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | BLUE CROSS CALIFORNIA PMG | BLUE CROSS DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $587.09 | $381.61 | 2025-11-26 | 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 | United Healthcare | United Behavioral Medicare | $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 | 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 | 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 | Vitas Healthcare Of Fl | Vitas | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| MCLAREN PORT HURON Both | WC - Workers Compensation | WC - Workers Compensation | $1.00 | $4.00 | $2.00 | 2025-02-03 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA HMO | CIGNA DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $56.28 | $46.15 | 2025-11-26 | 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 | Nch Management Systems | Nch Careplus Medicare | $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 | 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 Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $587.09 | $381.61 | 2025-11-26 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $56.28 | $46.15 | 2025-11-26 | 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 ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | BLUE SHIELD HMO | BLUE SHIELD DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PACIFICARE HMO | PACIFICARE DIG HMO | $1.00 | $5.04 | $3.02 | 2026-03-24 | 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 ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GREAT-WEST/PHCS | GREAT-WEST DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE DIGNITY | UNITED HEALTHCARE DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | 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 Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $10.79 | $8.84 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | SECURE HORIZONS DIGN HMO | AARP DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA DIGNITY | AETNA DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $56.28 | $46.15 | 2025-11-26 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET PMG HMO | HEALTH NET DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | 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 Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $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 ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $1.02 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | CIGNA | EXCHANGE | $1.02 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $1.02 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | EXCHANGE | $1.02 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | EXCHANGE | $1.02 | $6.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | EXCHANGE | $1.02 | $6.00 | — | 2025-07-30 | 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.