86696 — Analysis For Antibody To Herpes Simplex Virus, Type 2
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Analysis for antibody to Herpes simplex virus, type 2 (CPT 86696) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86696?code_type=CPT
MLA (9th ed.)
“Analysis for antibody to Herpes simplex virus, type 2 (CPT 86696) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86696?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Analysis for antibody to Herpes simplex virus, type 2 (CPT 86696) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86696?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19–$91 (25th–75th percentile) across 3,112 hospitals · 10,863 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86696 — 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
$19
$38 typical
$91
The middle 50% of negotiated facility rates for this procedure, measured across 3,112 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $146.00 | $124.10 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $185.00 | $157.25 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $149.14 | $74.57 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $149.14 | $74.57 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $168.00 | $142.80 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $146.00 | $124.10 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $168.00 | $142.80 | 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 ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $35.79 | $23.26 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $35.79 | $23.26 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.27 | $3.33 | $0.60 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.27 | $3.33 | $0.60 | 2026-02-25 | 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | 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 ↗ |
| 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 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HIX | $0.47 | $3.92 | $3.92 | 2026-03-01 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | WELLCARE | WELLCARE | $0.55 | $1.00 | $30.00 | 2026-03-25 | 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 ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | VACCN | VETERANS COMMUNITY CARE NETWORK | $0.55 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | HUMANA_MCRADV | HUMANA MEDICARE ADAVANTAGE | $0.55 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | UHC_MCRADV | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.55 | $1.00 | $30.00 | 2026-03-25 | 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 ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | AETNA_MCRADV | AETNA MEDICARE ADVANTAGE | $0.55 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | MICMAC HEALTH | MICMAC HEALTH | $0.55 | $1.00 | $30.00 | 2026-03-25 | 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 ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | GENERATIONS_MCRADV | GENERATIONS MEDICARE ADVANTAGE | $0.55 | $1.00 | $30.00 | 2026-03-25 | 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 ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | ANTHEM_MCRADV | ANTHEM MEDICARE ADVANTAGE | $0.56 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | MEDICRUZ | MEDICRUZ CLASSIC | $0.59 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | VICTIM COMPENSATION PLAN | VICTIM COMPENSATION PLAN | $0.59 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.59 | $110.00 | $40.70 | 2026-03-31 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | United | OptionsPPO | $0.59 | $3.92 | $3.92 | 2026-03-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HUMANA MED ADV - ALL PLANS | HUMANA MED ADV - ALL PLANS | $0.60 | $3.33 | $0.60 | 2026-02-25 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.60 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $0.60 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MED ADV | HEALTHNET MED ADV | $0.60 | $3.33 | $0.60 | 2026-02-25 | 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 | Corvel Healthcare | Corvel Healthcare | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $0.60 | $3.33 | $0.60 | 2026-02-25 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Simply | MGMCR | $0.60 | $3.92 | $3.92 | 2026-03-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $35.79 | $23.26 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Molina | MCR | $0.63 | $3.33 | $3.33 | 2024-10-01 | 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 ↗ |
| 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 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 ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PACIFICARE HMO | PACIFICARE DIG HMO | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA HMO | CIGNA DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | BLUE CROSS CALIFORNIA PMG | BLUE CROSS DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA DIGNITY | AETNA DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GREAT-WEST/PHCS | GREAT-WEST DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | SECURE HORIZONS DIGN HMO | AARP DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET PMG HMO | HEALTH NET DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | BLUE SHIELD HMO | BLUE SHIELD DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE DIGNITY | UNITED HEALTHCARE DIGNITY | $0.66 | $3.33 | $1.99 | 2026-03-24 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.69 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.69 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.69 | $186.00 | $176.70 | 2026-02-20 | 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 | Behavioral Services Network | Behavioral Services Network | $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 ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.70 | $3.63 | $2.18 | 2026-02-17 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.70 | $14.97 | $14.97 | 2026-03-01 | 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 | PFFS | $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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.70 | $1.00 | $1.00 | 2026-05-22 | 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.71 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $0.71 | $42.93 | $42.93 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $0.71 | $42.93 | $42.93 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.71 | $60.19 | $60.19 | 2026-03-18 | 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 | 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 ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $0.72 | $9.00 | — | 2025-11-10 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.73 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.74 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Molina Healthcare | MGMCR | $0.74 | $3.92 | $3.92 | 2026-03-01 | 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 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.77 | $42.93 | $42.93 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.77 | $42.93 | $42.93 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.77 | $60.19 | $60.19 | 2026-03-18 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Humana | HMO | $0.78 | $3.92 | $3.92 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Humana | PPO | $0.78 | $3.92 | $3.92 | 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 ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | BRAND NEW DAY - ALL PLANS | BRAND NEW DAY - ALL PLANS | $0.80 | $3.33 | $0.60 | 2026-02-25 | 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 ↗ |
| 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 | FullyInsured | $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 | Engage | $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 ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Indian Health Council | Indian Health Council | $0.84 | $6.00 | $4.50 | 2026-04-01 | 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 Inpatient | First Health Network | First Health | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | ANTHEM BLUE CROSS-ALL PLANS | ANTHEM BLUE CROSS-ALL PLANS | $0.85 | $4.39 | $2.63 | 2026-02-17 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | TWIN_RIVERS | TWIN RIVERS | $0.85 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $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 ↗ |
| 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 | 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 | WELLCARE | MCARE HMO | $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 DUAL PLAN | $0.88 | $4.00 | $0.60 | 2025-12-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.89 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.89 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | HARVARD_PILGRIM | HARVARD PILGRIM HEALTH CARE | $0.89 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | MEDICRUZ | MEDICRUZ CLASSIC | $0.90 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $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 ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.90 | $3.33 | $2.16 | 2025-01-01 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | VICTIM COMPENSATION PLAN | VICTIM COMPENSATION PLAN | $0.90 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Medicare | Medicare | $0.90 | $6.00 | $4.50 | 2026-04-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.90 | $3.33 | $2.16 | 2025-01-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | County Medical Services | County of San Diego | $0.90 | $6.00 | $4.50 | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.90 | $6.00 | — | 2025-07-30 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.90 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Evolutions | TieredNetwork | $0.90 | $3.92 | $3.92 | 2026-03-01 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.90 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.90 | $117.68 | $70.61 | 2025-08-11 | MRF ↗ |
| MEMORIAL HOSPITAL WEST 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 ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.90 | $117.68 | $70.61 | 2025-08-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.91 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.91 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.91 | $186.00 | $176.70 | 2026-02-20 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | MAINE_COMM_HEALTH | MAINE COMMUNITY HEALTH OPTIONS | $0.92 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | ASOEO | $0.93 | $3.33 | $3.33 | 2024-10-01 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | AETNA | AETNA | $0.93 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $0.94 | $5.00 | — | 2025-07-30 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | AvMed | HMOFI | $0.94 | $3.92 | $3.92 | 2026-03-01 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | CHOICECARE | CHOICECARE-HUMANA | $0.95 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.95 | $186.00 | $176.70 | 2026-02-20 | 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 | Medicare A Mn J6 | Default | $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 ↗ |
| 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 ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | MULTIPLAN | MULTIPLAN | $0.95 | $1.00 | $30.00 | 2026-03-25 | 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 ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | UHC | UHC | $0.95 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| Memorial Regional Hospital South 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 PEMBROKE 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 WEST OutpatientFacility | MOLINA | EXCHANGE | $0.96 | $6.00 | — | 2025-07-30 | MRF ↗ |
| NORTHERN MAINE MEDICAL CENTER Outpatient | CIGNA_PPO | CIGNA PPO | $0.97 | $1.00 | $30.00 | 2026-03-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.97 | $186.00 | $176.70 | 2026-02-20 | 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 | Wellpath | Commercial | $0.99 | $1.98 | $1.98 | 2026-02-25 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $53.57 | $43.93 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $53.57 | $43.93 | 2025-11-26 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA HMO | CIGNA DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $53.57 | $43.93 | 2025-11-26 | 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 | Magellan Behavioral Health | Magellan Behavioral Health | $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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $53.57 | $43.93 | 2025-11-26 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA DIGNITY | AETNA DIGNITY | $1.00 | $5.04 | $3.02 | 2026-03-24 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $584.10 | $379.66 | 2025-11-26 | 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 | POS | — | $53.57 | $43.93 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $1.00 | $1.00 | $1.00 | 2026-05-22 | 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.