87040 — Culture Blood
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CULTURE BLOOD (CPT 87040) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87040?code_type=CPT
MLA (9th ed.)
“CULTURE BLOOD (CPT 87040) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87040?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CULTURE BLOOD (CPT 87040) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87040?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11–$131 (25th–75th percentile) across 3,306 hospitals · 11,334 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87040 — 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
$11
$43 typical
$131
The middle 50% of negotiated facility rates for this procedure, measured across 3,306 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $43 |
| Likely subtotal | $43 |
Facility charge (no separate professional fee)
$43
- 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 | VNA Homecare Options | Medicaid | — | $409.00 | $347.65 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $409.00 | $347.65 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $534.88 | $267.44 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $534.88 | $267.44 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $124.00 | $105.40 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $273.00 | $232.05 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $273.00 | $232.05 | 2025-01-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.05 | $176.00 | $132.00 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.05 | $176.00 | $132.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $0.18 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $0.18 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $0.19 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $0.21 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $19.02 | $12.36 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.32 | $415.00 | $153.55 | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.33 | $353.42 | $353.42 | 2026-03-18 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $19.02 | $12.36 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $19.02 | $12.36 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.48 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.48 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.50 | $502.55 | $150.76 | 2026-04-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $0.50 | — | — | 2025-10-24 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.50 | $502.55 | $150.76 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.50 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $502.55 | $150.76 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.52 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $0.52 | — | — | 2025-10-24 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.54 | $349.97 | $349.97 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.63 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.63 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.64 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.64 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.64 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.64 | $8.00 | $1.44 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.64 | $8.00 | $1.44 | 2026-02-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.64 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.67 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.71 | $131.00 | $124.45 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.72 | $71.00 | $46.15 | 2026-03-14 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.93 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.93 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Prime Health Service | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MedCost | Ultra | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,185.71 | $770.71 | 2025-11-26 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MedCost | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,185.71 | $770.71 | 2025-11-26 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MultiPlan | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | DirectNet | Commercial | $1.00 | $1.00 | — | 2025-09-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $833.00 | $683.06 | 2025-11-26 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $1.03 | $101.00 | $65.65 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $1.03 | $101.00 | $65.65 | 2025-01-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.10 | $232.43 | $139.46 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.10 | $232.43 | $139.46 | 2025-08-11 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | $188.00 | $188.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | COMM | — | $245.94 | $245.94 | 2024-10-01 | MRF ↗ |
| TRIOS HEALTH Outpatient | WELLPOINT WASHINGTON, INC. | Medicaid | $1.29 | $363.35 | $145.34 | 2025-07-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $1.30 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $1.30 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $1.30 | — | — | 2025-08-01 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Cigna | Default | — | $94.00 | $47.00 | 2025-05-22 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Humana | Default | — | $94.00 | $47.00 | 2025-05-22 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Aetna | Default | — | $94.00 | $47.00 | 2025-05-22 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Health Choice Insurance Co | Default | $1.32 | $94.00 | $47.00 | 2025-05-22 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Humana | Default | — | $94.00 | $47.00 | 2026-04-01 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Aetna | Default | — | $94.00 | $47.00 | 2026-04-01 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Health Choice Insurance Co | Default | $1.32 | $94.00 | $47.00 | 2026-04-01 | MRF ↗ |
| CHOCTAW MEMORIAL HOSPITAL Both | Cigna | Default | — | $94.00 | $47.00 | 2026-04-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $1.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $1.34 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $1.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $1.36 | — | — | 2025-08-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HUMANA MED ADV - ALL PLANS | HUMANA MED ADV - ALL PLANS | $1.44 | $8.00 | $1.44 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MED ADV | HEALTHNET MED ADV | $1.44 | $8.00 | $1.44 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $1.44 | $8.00 | $1.44 | 2026-02-25 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $1.55 | — | — | 2026-03-01 | MRF ↗ |
| MISSISSIPPI METHODIST REHAB CTR Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1.55 | $15.00 | — | 2025-03-14 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $1.55 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $1.55 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $1.63 | — | — | 2025-08-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $1.71 | $11.37 | $11.37 | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $1.78 | $256.00 | — | 2026-03-31 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $1.82 | $10.32 | $7.23 | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $1.82 | $10.32 | $7.23 | 2025-08-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $1.87 | $216.00 | $107.14 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $1.87 | $216.00 | $107.14 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $1.89 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $1.89 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $1.89 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $1.89 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1.89 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1.89 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | BRAND NEW DAY - ALL PLANS | BRAND NEW DAY - ALL PLANS | $1.92 | $8.00 | $1.44 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1.96 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1.96 | $8.98 | $3.23 | 2026-01-24 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $2.01 | $11.37 | $11.37 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $2.01 | $11.37 | $11.37 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $2.01 | $11.37 | $11.37 | 2026-03-01 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $2.06 | $31.00 | $17.30 | 2026-02-12 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $2.09 | $12.90 | $9.68 | 2026-04-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.13 | $145.00 | $58.00 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.13 | $145.00 | $58.00 | 2026-05-13 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $2.13 | $12.90 | $9.68 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $2.14 | $8.98 | $1.62 | 2026-01-30 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $104.00 | — | 2025-06-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $2.27 | $225.00 | $33.75 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $2.27 | $225.00 | $33.75 | 2025-12-23 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $2.30 | $236.00 | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $2.30 | $236.00 | — | 2025-12-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $2.32 | $218.39 | $85.17 | 2024-06-27 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | United Healthcare | Default | $2.32 | $12.90 | $9.68 | 2026-04-01 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $2.32 | $218.39 | $85.17 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $2.32 | $218.39 | $85.17 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $2.32 | $218.39 | $85.17 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $2.32 | $218.39 | $85.17 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $2.32 | $218.39 | $85.17 | 2024-06-27 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $2.33 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $2.33 | $8.98 | $0.63 | 2026-01-25 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PGBA TRICARE-ALL PLANS | PGBA TRICARE-ALL PLANS | $2.40 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $2.40 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $2.40 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $2.40 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $2.40 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $2.40 | $168.00 | $117.60 | 2025-01-01 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $197.00 | $78.80 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $2.49 | $8.98 | $1.62 | 2026-01-30 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2.53 | $24.50 | $24.50 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $2.53 | $24.50 | $24.50 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $2.53 | $24.50 | $24.50 | 2026-02-10 | MRF ↗ |
| TRIOS HEALTH Outpatient | COORDINATED CARE OF WASHINGTON INC | Medicaid | $2.54 | $363.35 | $145.34 | 2025-07-01 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $2.62 | $10.09 | $6.05 | 2025-09-13 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | PPO | — | $19.02 | $12.36 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $2.68 | $10.32 | $0.72 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $2.69 | $8.98 | $1.62 | 2026-01-30 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | IMPERIAL HP - ALL PLANS | IMPERIAL HP - ALL PLANS | $2.71 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $2.79 | $384.00 | $318.72 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Plain Church | All Products | $2.79 | $410.00 | $340.30 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $2.79 | $384.00 | $318.72 | 2025-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.81 | $270.15 | $270.15 | 2026-04-24 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | United Healthcare | CHIP | $2.85 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | United Healthcare | Medicaid | $2.85 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | iCare | Medicaid | $2.90 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $2.91 | $8.98 | $0.63 | 2026-01-25 | MRF ↗ |
| ENCINO HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $2.92 | $9.90 | $13.00 | 2024-12-19 | MRF ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Keenan | Keenan | $2.92 | $139.00 | $13.00 | 2024-12-19 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | Managed Health Services (MHSWI) | Medicaid | $2.93 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | BC MCAL | BC MCAL | $2.95 | $408.00 | $89.76 | 2026-01-25 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | My Choice WI | Medicaid | $2.96 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ENCINO HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $2.97 | $9.90 | $13.00 | 2024-12-19 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | MEDRISK MEDICAID | MEDRISK MEDICAID | $2.97 | $528.00 | $369.60 | 2025-12-10 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $2.98 | $8.98 | $1.35 | 2026-01-27 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | Molina | Medicaid | $2.99 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS OutpatientFacility | Group Health Cooperative Of Eau Claire | Medicaid | $2.99 | $153.08 | $64.29 | 2026-03-24 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $3.02 | $8.98 | $0.63 | 2026-01-25 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $3.06 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET PRISON | HEALTHNET PRISON | $3.07 | $15.00 | $11.25 | 2025-12-23 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $3.08 | $8.55 | $5.39 | 2026-01-27 | MRF ↗ |
| GREAT RIVER MEDICAL CENTER Both | COMMERCIAL INSURANCE | APWU HEALTH PLAN | $3.08 | $14.00 | $9.39 | 2026-04-20 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Borderland | Medicaid | $3.10 | $197.00 | $137.90 | 2025-01-01 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Los Angeles Sheriffs | Los Angeles Sheriffs | $3.10 | $396.00 | $13.00 | 2024-12-19 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Borderland | Medicaid | $3.10 | $197.00 | $137.90 | 2025-01-01 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $3.10 | $30.00 | $30.00 | 2026-02-09 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $3.10 | $30.00 | $30.00 | 2026-02-09 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $3.18 | $8.98 | $1.35 | 2026-01-27 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $3.19 | $11.37 | $11.37 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | ANTHEM MCAL | ANTHEM MCAL | $3.19 | $240.00 | $48.00 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $3.21 | $268.00 | $50.92 | 2026-01-31 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Keenan | Keenan | $3.30 | $11.00 | $13.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $3.31 | $8.98 | $1.35 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $3.31 | $8.98 | $1.35 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $3.34 | $10.32 | $0.72 | 2026-01-25 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $3.36 | $213.00 | $68.16 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $3.36 | $213.00 | $68.16 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $3.36 | $213.00 | $68.16 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $3.36 | $213.00 | $68.16 | 2025-07-22 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $3.38 | $13.00 | $6.50 | 2026-06-14 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | $13.00 | $6.50 | 2026-06-14 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $3.39 | $456.00 | $150.48 | 2026-01-13 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA - ALL OTHER PLANS | PACIFIC IPA - ALL OTHER PLANS | $3.41 | $8.98 | $1.62 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | UHC JLL | UHC JLL | $3.41 | $8.98 | $1.62 | 2026-01-30 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $19.02 | $12.36 | 2025-11-26 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3.43 | $213.00 | $68.16 | 2025-07-22 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $3.47 | $10.32 | $0.72 | 2026-01-25 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $3.51 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $3.51 | $90.00 | $54.09 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $3.51 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $3.51 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $3.51 | $102.00 | $51.61 | 2025-06-27 | 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.