86900 — Blood Group Typing (abo)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Blood group typing (ABO) (CPT 86900) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86900?code_type=CPT
MLA (9th ed.)
“Blood group typing (ABO) (CPT 86900) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86900?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Blood group typing (ABO) (CPT 86900) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86900?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13–$135 (25th–75th percentile) across 4,180 hospitals · 12,031 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86900 — 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
$62 typical
$135
The middle 50% of negotiated facility rates for this procedure, measured across 4,180 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $62 |
| Likely subtotal | $62 |
Facility charge (no separate professional fee)
$62
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–$135.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $274.97 | $137.49 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $107.00 | $90.95 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $274.97 | $137.49 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $107.00 | $90.95 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $107.00 | $90.95 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $107.00 | $90.95 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $107.00 | $90.95 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.07 | $2.38 | $0.45 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.07 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.07 | $2.38 | $0.64 | 2026-01-31 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | $0.07 | $2.38 | $0.36 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.07 | $2.38 | $0.36 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.07 | $2.38 | $0.45 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.07 | $2.38 | $0.86 | 2026-01-24 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.07 | $2.38 | $0.36 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.07 | $2.38 | $0.86 | 2026-07-29 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | $0.07 | $2.38 | $0.36 | 2026-07-30 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.09 | $128.00 | $47.36 | 2026-03-31 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $0.09 | $2.99 | $2.39 | 2026-10-22 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $0.13 | $4.50 | $3.60 | 2026-05-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.14 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.14 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.14 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.14 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.14 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.15 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.15 | $5.00 | $3.75 | 2026-05-08 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.18 | $184.60 | $55.38 | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $37.00 | $35.15 | 2026-02-20 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.18 | $184.60 | $55.38 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.18 | $184.60 | $55.38 | 2026-07-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.18 | $184.60 | $55.38 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.18 | $184.60 | $55.38 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.18 | $184.60 | $55.38 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.18 | $184.60 | $55.38 | 2026-04-01 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.20 | $270.00 | $270.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.20 | $213.00 | $213.00 | 2026-11-06 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.20 | $270.00 | $270.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.20 | $213.00 | $213.00 | 2026-11-06 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.21 | $7.00 | $7.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.21 | $7.00 | $7.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.21 | $7.00 | $7.00 | 2026-02-10 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.22 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.22 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $289.00 | $216.75 | 2026-09-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $0.23 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.23 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $300.00 | $225.00 | 2026-09-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Freedom Health Care | MGMGR | $0.23 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.23 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HIX | $0.24 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $289.00 | $216.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $300.00 | $225.00 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.30 | $10.00 | $6.60 | 2026-01-07 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.30 | $10.00 | $10.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.30 | $10.00 | $10.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.30 | $10.00 | $10.00 | 2026-02-10 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | UHC MCR ADV | UHC MCR ADV | $0.30 | $10.00 | $6.60 | 2026-01-07 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $0.33 | $33.46 | $25.10 | 2026-11-03 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $300.00 | $225.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $289.00 | $216.75 | 2026-09-01 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Sharp Plan | Commercial | $0.35 | $50.00 | $37.50 | 2026-10-31 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.35 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.35 | — | — | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $0.36 | $2.38 | $0.45 | 2026-08-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Medicaid HMO | $0.38 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $0.38 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $0.38 | — | — | 2025-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Non Contracted Commercial | Non Contracted Commercial | $0.38 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $0.38 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Healthy Kids | $0.38 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology UPW | Medicaid HMO | $0.38 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology UPW | Medicaid HMO | $0.39 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology UPW | Medicaid HMO | $0.39 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Medicaid HMO | $0.39 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $0.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $0.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $0.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Healthy Kids | $0.39 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $0.39 | — | — | 2025-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $0.40 | $33.46 | $25.10 | 2026-11-02 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $123.01 | $79.95 | 2025-11-26 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $0.43 | $33.46 | $25.10 | 2026-08-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $0.44 | $14.70 | $9.56 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS-ALL OTHER PLANS | BCBS-ALL OTHER PLANS | $0.44 | $14.70 | $9.56 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $0.44 | $14.70 | $9.56 | 2026-08-10 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.45 | $2.38 | $0.64 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.45 | $2.38 | $0.64 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.45 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $0.45 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.45 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $0.45 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $0.45 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $0.45 | $2.38 | $0.64 | 2026-01-31 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $0.45 | $65.00 | $65.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $0.45 | $286.00 | $286.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Simply Healthcare | MGMCR | $0.46 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $0.46 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $0.47 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicaid HMO | $0.47 | — | — | 2026-06-30 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $0.47 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.47 | $33.46 | $25.10 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $0.48 | $2.38 | $0.71 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $0.48 | $2.38 | $0.71 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BC MEDICARE | BC MEDICARE | $0.48 | $2.38 | $0.71 | 2026-01-25 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.48 | $16.00 | $9.60 | 2026-09-21 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Uhc | Medicare | — | $38.00 | $30.40 | 2026-11-03 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $0.48 | $16.00 | $10.08 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $0.48 | $16.00 | $10.08 | 2026-03-25 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $0.48 | — | — | 2025-10-24 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | NOMI HEALTH - ALL PLANS | NOMI HEALTH - ALL PLANS | $0.48 | $16.00 | $9.60 | 2026-09-21 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | United | OptionsPPO | $0.49 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $310.00 | $232.50 | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.50 | $10.00 | $7.00 | 2026-09-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.50 | $2.38 | $0.86 | 2026-01-24 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $0.50 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.50 | $2.38 | $0.86 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.50 | $2.38 | $0.86 | 2026-01-24 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.50 | $9.90 | $9.90 | 2024-10-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $0.50 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $0.50 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $0.50 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.50 | $10.00 | $7.00 | 2026-09-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.50 | $2.38 | $0.86 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.50 | $2.38 | $0.86 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.50 | $2.38 | $0.86 | 2026-07-29 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $0.50 | $10.00 | $7.00 | 2026-09-29 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.52 | $2.38 | $0.71 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.52 | $2.38 | $0.86 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.52 | $2.38 | $0.48 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.52 | $2.38 | $0.86 | 2026-07-29 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.53 | $163.00 | $114.10 | 2025-08-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.54 | $18.00 | $13.50 | 2026-05-08 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $0.55 | $18.25 | $11.86 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | DEAN HEALTH PLAN - ALL PLANS | DEAN HEALTH PLAN - ALL PLANS | $0.55 | $18.25 | $11.86 | 2026-01-15 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $0.56 | $24.90 | $8.96 | 2026-09-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.57 | $2.38 | $0.43 | 2026-01-30 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Molina | MGMCR | $0.57 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.57 | $2.38 | $0.43 | 2026-05-23 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $0.58 | $22.00 | — | 2026-08-17 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $0.58 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $0.58 | $2.38 | $0.64 | 2026-01-31 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.60 | $28.44 | $21.33 | 2026-08-01 | MRF ↗ |
| POPLAR BLUFF REGIONAL MEDICAL CENTER Outpatient | United Behavioral Health Medicaid Mo | United Behavioral Health Medicaid Mo | $0.60 | $2.99 | $0.63 | 2026-07-15 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $0.60 | $275.00 | $190.30 | 2026-02-12 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.61 | $107.00 | $42.80 | 2026-07-18 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $200.00 | — | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $0.62 | $2.38 | $0.17 | 2026-08-02 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | ST. VINCENT HEALTH - ALL PLANS | ST. VINCENT HEALTH - ALL PLANS | $0.63 | $21.00 | $14.70 | 2026-08-18 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | $0.65 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | $0.65 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | $0.65 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $0.66 | $2.38 | $0.43 | 2026-05-23 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HMOFI | $0.66 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $0.66 | $2.38 | $0.43 | 2026-01-30 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Compass | $0.66 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | United Healthcare | Compass | $0.66 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Evolutions Healthcare Systems | PrimeTier1 | $0.69 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Medcost | Commercial | $0.69 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.71 | $2.38 | $0.43 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | EHN - ALL PLANS | EHN - ALL PLANS | $0.71 | $2.38 | $0.38 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.71 | $2.38 | $0.43 | 2026-01-30 | MRF ↗ |
| POPLAR BLUFF REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $0.72 | $2.99 | $0.90 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Self Pay | Self Pay | $0.72 | $2.99 | $0.72 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Amish Aid | Amish Aid | $0.72 | $2.99 | $0.72 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.73 | $14.54 | $10.18 | 2026-09-29 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.73 | $14.54 | $10.18 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $0.73 | $14.54 | $10.18 | 2026-09-29 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Cigna | Commercial | $0.73 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $0.73 | $14.54 | $10.18 | 2026-05-27 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | $0.75 | $25.00 | $3.75 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $0.75 | $25.00 | $3.75 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | ASOEO | $0.75 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.75 | $25.00 | $3.75 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.75 | $25.00 | $3.75 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | EMPLOYERS HEALTH NETWORK IP/OP ONLY - ALL PLANS | $0.75 | $25.00 | $3.75 | 2026-07-30 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Ky Work Comp | Ky Work Comp | $0.75 | $2.99 | $1.08 | 2026-07-17 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.75 | $2.38 | $0.45 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | BC MCAL | BC MCAL | $0.76 | $168.00 | $36.96 | 2026-01-25 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna New Business | Commerical | $0.76 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Freedom Health Care | MCR | $0.77 | $9.90 | $9.90 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $0.77 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.77 | $28.44 | $21.33 | 2026-11-02 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $0.77 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Optimum Healthcare | PPO | $0.77 | $9.90 | $9.90 | 2024-10-01 | MRF ↗ |
| POPLAR BLUFF REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.77 | $2.99 | $0.90 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.77 | $2.38 | $0.17 | 2026-08-02 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.77 | $9.90 | $9.90 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.77 | $9.90 | $9.90 | 2024-10-01 | MRF ↗ |
| PUTNAM COUNTY HOSPITAL Outpatient | INDIANA UNIVERISTY QHP | INDIANA UNIVERISTY QHP | $0.78 | $26.00 | $22.10 | 2025-11-08 | MRF ↗ |
| PUTNAM COUNTY HOSPITAL Outpatient | INDIANA UNIVERSITY PLAN | INDIANA UNIVERSITY PLAN | $0.78 | $26.00 | $22.10 | 2025-11-08 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $0.78 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna | Commercial | $0.78 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna New Business | Commerical | $0.78 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | KAISER IP/OP ONLY- ALL OTHER PLANS | KAISER IP/OP ONLY- ALL OTHER PLANS | $0.78 | $2.38 | $0.64 | 2026-05-21 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $0.78 | $1.35 | $0.81 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $0.78 | $2.99 | $0.21 | 2026-08-02 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $0.78 | $26.00 | $16.90 | 2026-08-10 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | $0.78 | $1.35 | $0.81 | 2026-08-01 | 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.