86921 — Compatibility Test Incubate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). COMPATIBILITY TEST INCUBATE (HCPCS 86921) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/86921?code_type=HCPCS
MLA (9th ed.)
“COMPATIBILITY TEST INCUBATE (HCPCS 86921) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/86921?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“COMPATIBILITY TEST INCUBATE (HCPCS 86921) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/86921?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $65–$212 (25th–75th percentile) across 2,367 hospitals · 5,754 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 86921 — 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
$65
$149 typical
$212
The middle 50% of negotiated facility rates for this procedure, measured across 2,367 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $149 |
| Likely subtotal | $149 |
Facility charge (no separate professional fee)
$149
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 $65–$212.
- 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 | — | $150.00 | $127.50 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $150.00 | $127.50 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $198.00 | $138.60 | 2025-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.27 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.27 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.27 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.28 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.28 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.29 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.36 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.36 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.39 | $73.00 | $69.35 | 2026-02-20 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $0.46 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $0.46 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Cigna | SureFit/LocalPlus | $0.46 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $0.46 | — | — | 2026-03-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.47 | $259.00 | $172.65 | 2024-12-31 | MRF ↗ |
| Research Medical Center Outpatient | Cigna | LocalKC | $0.55 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | LocalKC | $0.55 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Cigna | LocalKC | $0.55 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Cigna | LocalKC | $0.55 | — | — | 2026-03-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | BCBS FL | PHS | $0.57 | $1.83 | — | 2025-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Health-Partners | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Health-Partners | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Outpatient | Cigna | Cigna All | $0.59 | $984.99 | $177.30 | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Ppo | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Indemnity | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Ppo | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Other | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Eighth Dist Elect Ben Pln | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Cigna | Broad Networks/Local Plus | $0.59 | — | — | 2025-11-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Cigna Ppo | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Pos/Qpos | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Cigna | Broad Networks/Local Plus | $0.59 | — | — | 2025-11-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Cigna Indemnity | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Hmo | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Local Plus | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Hmo | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Local Plus | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Indemnity | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Local Plus | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Indemnity | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Cigna Hmo | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Health-Partners | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Eighth Dist Elect Ben Pln | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Health-Partners | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Other | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna | Cigna Other | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Other | $0.59 | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Pos/Qpos | $0.59 | — | — | 2026-07-15 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Cigna | Commercial | $0.63 | $128.00 | — | 2026-04-08 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | Cigna | Commercial|NBR | $0.68 | $786.00 | $786.00 | 2026-02-28 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | Comm | $0.69 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Cigna | Comm | $0.69 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Cigna | Comm | $0.69 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Cigna | Comm | $0.69 | — | — | 2026-03-01 | MRF ↗ |
| HENDERSON HOSPITAL Both | Cigna | Ppo | $0.74 | $76.00 | $30.40 | 2026-05-24 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | CIGNA | CIGNA COMMERCIAL | $0.74 | $83.00 | $83.00 | 2026-03-23 | MRF ↗ |
| WEST HENDERSON HOSPITAL Both | Cigna | Ppo | $0.74 | $76.00 | $30.40 | 2026-05-13 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | CIGNA | CIGNA COMMERCIAL | $0.74 | $83.00 | $83.00 | 2026-03-23 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Both | Cigna | Ppo | $0.74 | $76.00 | $30.40 | 2026-07-15 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Both | Cigna | Ppo | $0.74 | $76.00 | $30.40 | 2026-05-08 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | CIGNA | CIGNA COMMERCIAL | $0.74 | $83.00 | $83.00 | 2026-03-23 | MRF ↗ |
| SPRING VALLEY HOSPITAL MEDICAL CENTER Both | Cigna | Ppo | $0.74 | $76.00 | $30.40 | 2026-07-17 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Both | Cigna | Ppo | $0.74 | $76.00 | $30.40 | 2026-05-06 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Cigna | All Plans | $0.77 | — | — | 2026-04-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | IFPLP | $0.83 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | IFPLP | $0.83 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | IFPLP | $0.83 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | IFPLP | $0.83 | $205.07 | $205.07 | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Cigna | IFPLP | $0.83 | $183.85 | $183.85 | 2024-10-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Cigna | HMO/PPO | $0.84 | — | — | 2026-03-18 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | IFPLP | $0.86 | — | — | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.86 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | IFPLP | $0.86 | $761.38 | $761.38 | 2026-03-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.90 | $1,195.20 | $1,195.20 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.90 | $1,195.20 | $1,195.20 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.90 | $1,195.20 | $1,195.20 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.90 | $1,195.20 | $1,195.20 | 2026-03-27 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Cigna | OAPNBN | $0.93 | $183.85 | $183.85 | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | OAPNBN | $0.93 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | OAPNBN | $0.93 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | OAPNBN | $0.93 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | OAPNBN | $0.93 | $205.07 | $205.07 | 2024-10-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Cigna | Oap Other Commercial Plan | $0.94 | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Cigna | Localplus Other Commercial Plan | $0.94 | — | — | 2026-04-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,182.00 | $768.30 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,182.00 | $768.30 | 2026-06-15 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | OAPNBN | $0.97 | $761.38 | $761.38 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | OAPNBN | $0.97 | — | — | 2026-03-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Cigna | Managed Care | $1.00 | $399.00 | $159.60 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $1.03 | — | — | 2026-04-01 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $1.05 | $320.00 | $320.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $1.05 | $320.00 | $320.00 | 2026-07-19 | MRF ↗ |
| HENDERSON HOSPITAL Both | Cigna | Hmo | $1.06 | $76.00 | $30.40 | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Both | Cigna | Hmo | $1.06 | $76.00 | $30.40 | 2026-05-13 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Both | Cigna | Hmo | $1.06 | $76.00 | $30.40 | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Both | Cigna | Hmo | $1.06 | $76.00 | $30.40 | 2026-05-08 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Both | Cigna | Hmo | $1.06 | $76.00 | $30.40 | 2026-07-15 | MRF ↗ |
| SPRING VALLEY HOSPITAL MEDICAL CENTER Both | Cigna | Hmo | $1.06 | $76.00 | $30.40 | 2026-07-17 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Cigna | Exclusive | $1.07 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | Exclusive | $1.07 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Exclusive | $1.07 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Exclusive | $1.07 | $205.07 | $205.07 | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Cigna | Exclusive | $1.07 | $183.85 | $183.85 | 2024-10-01 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Cigna | Managed Care | $1.10 | $130.00 | $97.50 | 2026-07-15 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | Exclusive | $1.11 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $1,182.00 | $768.30 | 2026-06-15 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Cigna | Exclusive | $1.11 | $761.38 | $761.38 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $1.12 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| TACOMA GENERAL ALLENMORE HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $1.18 | — | — | 2025-08-26 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $333.00 | $89.91 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $333.00 | $89.91 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $333.00 | $89.91 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $383.00 | $103.41 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $383.00 | $103.41 | 2026-03-27 | MRF ↗ |
| MULTICARE AUBURN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.18 | — | — | 2025-07-26 | MRF ↗ |
| MULTICARE GOOD SAMARITAN HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $1.18 | — | — | 2025-07-29 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $383.00 | $103.41 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $333.00 | $89.91 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.18 | $333.00 | $89.91 | 2024-12-30 | MRF ↗ |
| MULTICARE COVINGTON MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.18 | — | — | 2025-07-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $1.20 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Cigna | HMO | $1.22 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Cigna | PPO | $1.22 | — | — | 2024-10-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Cigna | All Commercial Plans | $1.24 | — | — | 2026-04-01 | MRF ↗ |
| MISSOURI BAPTIST MEDICAL CENTER Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS COMMUNITY | $1.25 | $190.00 | $114.00 | 2025-12-15 | MRF ↗ |
| CHRISTIAN HOSPITAL NORTHEAST Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS COMMUNITY | $1.25 | $190.00 | $114.00 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS BJH | $1.28 | $200.00 | $120.00 | 2025-12-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Cigna PPO | PPO | $1.30 | — | — | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Cigna PPO | PPO | $1.30 | — | — | 2026-03-29 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $1.32 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $1.32 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $1.32 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $1.36 | $160.00 | $81.60 | 2025-01-10 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | HMO | $1.37 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | PPO | $1.37 | — | — | 2024-10-01 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Cigna HMO | HMO | $1.40 | — | — | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Cigna HMO | HMO | $1.40 | — | — | 2026-03-29 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna Localflex | Cigna Localflex | $1.40 | $655.00 | $157.20 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Local Plus | Cigna Local Plus | $1.40 | $655.00 | $117.90 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Localplus | $1.40 | $655.00 | $157.20 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $1.44 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $1.46 | $655.00 | $157.20 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $1.46 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Hmo | Cigna Hmo | $1.46 | $655.00 | $117.90 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Localflex | Cigna Localflex | $1.46 | $655.00 | $117.90 | 2026-07-15 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Cigna | Ppo | $1.46 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Cigna | Connect Hix Ifp Exchange | $1.48 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.48 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE PORTLAND MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.48 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Cigna | Hmo | $1.48 | — | — | 2026-04-01 | MRF ↗ |
| FLOWERS HOSPITAL Outpatient | Cigna | Cigna All | $1.48 | $1,148.00 | $172.20 | 2026-07-15 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Cigna | Connect Hix Ifp Exchange | $1.48 | — | — | 2026-01-01 | MRF ↗ |
| NGMC BARROW, LLC OutpatientFacility | Cigna | Connect Hix Ifp Exchange | $1.48 | — | — | 2026-04-01 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Cigna | Managed Care | $1.48 | $399.00 | $159.60 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $1.48 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $1.48 | $172.00 | $172.00 | 2026-06-05 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1.48 | $219.10 | $164.33 | 2026-07-31 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $1.48 | — | — | 2026-04-01 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Cigna Health and Life Insurance Company | PPO_HMO_EPO | $1.48 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Cigna Health and Life Insurance Company | PPO_HMO_EPO | $1.48 | — | — | 2026-03-27 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN OutpatientFacility | Cigna | Connect Hix Ifp Exchange | $1.48 | — | — | 2026-04-01 | 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.