86711 — John Cunningham Antibody
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). JOHN CUNNINGHAM ANTIBODY (CPT 86711) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86711?code_type=CPT
MLA (9th ed.)
“JOHN CUNNINGHAM ANTIBODY (CPT 86711) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86711?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“JOHN CUNNINGHAM ANTIBODY (CPT 86711) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86711?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17–$94 (25th–75th percentile) across 2,363 hospitals · 5,001 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86711 — 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
$17
$29 typical
$94
The middle 50% of negotiated facility rates for this procedure, measured across 2,363 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 $17–$94.
- 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 | VNA Homecare Options | Medicaid | — | $5,657.00 | $4,808.45 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $195.42 | $97.71 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $1,839.00 | $1,563.15 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $195.42 | $97.71 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,839.00 | $1,563.15 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $5,657.00 | $4,808.45 | 2025-01-01 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA BothFacility | CLARITEV [100309] | CLARITEV [10030901] | $0.03 | $0.03 | $0.01 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA BothFacility | AETNA [100001] | AETNA PPO [10000101] | $0.03 | $0.03 | $0.01 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA BothFacility | BEHAVIORAL HLTH SYS [100258] | BEHAVIORAL HLTH SYS [10025802] | $0.03 | $0.03 | $0.01 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | CIGNA [100009] | EVERNORTH BEHAVIORAL HEALTH CIGNA [10000903] | $0.03 | $0.03 | $0.01 | 2026-03-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid MCO | $0.44 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Nebraska Total Care | Medicaid MCO | $0.44 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicaid HMO | $0.44 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.45 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Nebraska Total Care | Medicare Advantage | $0.45 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $0.45 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $0.45 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Medicare | Medicare | $0.45 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $0.45 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $0.46 | $45.74 | $34.30 | 2026-07-31 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Cigna | Commercial | $0.47 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Aetna | Local | $0.51 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Aetna | National | $0.53 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $0.55 | $45.74 | $34.30 | 2026-07-17 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $0.59 | $45.74 | $34.30 | 2026-08-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.60 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.60 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $833.00 | — | 2026-07-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | BCBS of KC | Blue Select ACA | $0.63 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.64 | $45.74 | $34.30 | 2026-08-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.64 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.67 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.70 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | BCBS of KC | Blue Select/Select Plus | $0.74 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.80 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.82 | $38.88 | $29.16 | 2026-08-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.82 | $1.00 | $0.29 | 2026-03-06 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.88 | — | — | 2026-03-18 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Commercial, HMO/POS, PPO | $0.95 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Nebraska Total Care | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Humana | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Midlands Choice | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | First Choice Health | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Multiplan PHCS | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | Medica | Commercial, HMO/POS, PPO | $0.96 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Commercial, HMO/POS, PPO | $0.97 | $1.00 | $0.96 | 2025-05-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Beech_Street_Corporation | PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | United_HealthCare | International | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Multiplan | PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | GMMI | PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Carelon | Psychiatric_Medicare | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | First_Health_Network | PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Private_Healthcare_Systems | PPO_NR | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Aetna_Whole_Health | HMO_PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Aetna | ASA_PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Humana | PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Beech_Street_Corporation_ | Accelerated_PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | AvMed | HMO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | National_Healthcare_Solutions | International_PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | HealthOne_Alliance | HMO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | UPMC | HMO_PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Lucet | Behavioral_Health_Misc | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | International | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | GBG_Administrative_Services | International | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,647.00 | $1,235.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Humana | HMO | — | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Plotkin | International | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Humana | EPO | — | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Lucet | Behavioral_Health | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $30.00 | $22.50 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Zelis | PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Inpatient | Aetna | International_PPO | $1.00 | $1.00 | $0.40 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $42.23 | $16.89 | 2026-09-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $18,503.00 | $13,877.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $1.26 | $148.00 | $75.48 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $1.33 | $45.74 | $34.30 | 2026-08-01 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $1.56 | $61.00 | $20.13 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $1.56 | $61.00 | $20.13 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $1.56 | $61.00 | $20.13 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $1.65 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $1.73 | $152.00 | $38.00 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield � Blue High Performance Network | All Plans | $1.73 | $152.00 | $38.00 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | $1.74 | $25.00 | $11.25 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | $1.74 | $25.00 | $11.25 | 2026-08-17 | MRF ↗ |
| ABROM KAPLAN MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $1.74 | $25.00 | $11.75 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $1.77 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $1.77 | — | — | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | $1.78 | $152.00 | $39.52 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | $1.78 | $152.00 | $39.52 | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.80 | $128.00 | $51.20 | 2026-07-18 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $1.81 | $61.00 | $20.13 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $1.88 | $152.00 | $38.00 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $1.88 | $152.00 | $38.00 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $1.88 | $45.74 | $34.30 | 2026-07-31 | MRF ↗ |
| ABROM KAPLAN MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $1.89 | $25.00 | $11.75 | 2026-07-15 | MRF ↗ |
| ABROM KAPLAN MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $1.89 | $25.00 | $11.75 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $1.89 | $25.00 | $11.25 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | $1.89 | $25.00 | $11.25 | 2026-08-17 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $1.90 | — | — | 2025-10-24 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $1.93 | $152.00 | $39.52 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | $1.93 | $152.00 | $39.52 | 2026-08-17 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $1.98 | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $1.98 | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $1.99 | $11.00 | $5.46 | 2026-02-28 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield � Blue High Performance Network | All Plans | $1.99 | $253.00 | $53.13 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $1.99 | $253.00 | $53.13 | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $1.99 | — | — | 2025-10-24 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $1.99 | $11.00 | $5.46 | 2026-02-28 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $2.12 | $114.00 | $36.48 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $2.16 | $253.00 | $53.13 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $2.16 | $253.00 | $53.13 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $2.30 | $114.00 | $36.48 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $2.30 | $114.00 | $36.48 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $2.52 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $2.52 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $2.53 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $2.53 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $2.53 | — | — | 2026-03-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Commercial | $2.57 | $65.00 | $39.00 | 2026-05-08 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $2.73 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | PFFS | $2.73 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $2.73 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Freedom Health Care | MGMGR | $2.73 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HIX | $2.80 | $35.00 | $35.00 | 2026-03-01 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $2.89 | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Premera | Commercial | — | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Premera | Commercial | — | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $2.89 | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Kaiser | Medicare | — | $34.00 | $27.20 | 2026-03-26 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $2.91 | — | — | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | BC MCAL | BC MCAL | $2.92 | $30.00 | $6.60 | 2026-01-25 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $2.98 | — | — | 2025-08-08 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $3.14 | $30.00 | $4.50 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | ANTHEM MCAL | ANTHEM MCAL | $3.16 | $30.00 | $6.00 | 2026-01-27 | 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.