87205 — Special Gram Or Giemsa Stain For Microorganism
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Special Gram or Giemsa stain for microorganism (CPT 87205) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87205?code_type=CPT
MLA (9th ed.)
“Special Gram or Giemsa stain for microorganism (CPT 87205) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87205?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Special Gram or Giemsa stain for microorganism (CPT 87205) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87205?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$60 (25th–75th percentile) across 3,301 hospitals · 11,413 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87205 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 | EmblemHealth | CBP | — | $63.00 | $53.55 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $39.00 | $33.15 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $63.00 | $53.55 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $58.29 | $29.14 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $58.29 | $29.14 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $175.00 | $148.75 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $175.00 | $148.75 | 2025-01-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.05 | $91.00 | $68.25 | 2026-03-26 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL- NEW ORLEANS, LLC Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | $67.08 | — | 2025-06-16 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL - CENTRAL Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | — | $67.08 | 2025-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.13 | $124.00 | $45.88 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.15 | $88.18 | $52.91 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.15 | $88.18 | $52.91 | 2025-08-11 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | KEY MEDICAL GROUP COMMERCIAL - ALL OTHER PLANS | $0.15 | $3.46 | $0.66 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $0.15 | $3.46 | $0.52 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $0.15 | $3.46 | $0.93 | 2026-01-31 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | EMPLOYERS HEALTH NETWORK - ALL PLANS | EMPLOYERS HEALTH NETWORK - ALL PLANS | $0.15 | $3.46 | $0.52 | 2026-01-25 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $50.00 | $47.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.19 | $51.00 | $48.45 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.22 | $12.25 | $12.25 | 2026-03-18 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $6.88 | $4.47 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.24 | $50.00 | $47.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.24 | $50.00 | $47.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.24 | $51.00 | $48.45 | 2026-02-20 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $6.88 | $4.47 | 2025-11-26 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.25 | $51.00 | $48.45 | 2026-02-20 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $247.00 | $74.10 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.26 | $50.00 | $47.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.26 | $51.00 | $48.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.26 | $50.00 | $47.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.27 | $50.00 | $47.50 | 2026-02-20 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $0.31 | $3.01 | $1.72 | 2026-02-28 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.34 | $8.00 | $8.00 | 2026-02-09 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.36 | $6.00 | $2.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $0.36 | $6.00 | $2.40 | 2026-05-23 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | $74.00 | $74.00 | 2024-10-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.37 | $4.60 | $0.83 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.37 | $4.60 | $0.83 | 2026-02-25 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.43 | $45.00 | $29.25 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.43 | $45.00 | $29.25 | 2025-01-01 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.45 | $10.50 | $10.50 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.45 | $10.50 | $10.50 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.45 | $10.50 | $10.50 | 2026-02-10 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | NHN/MNA-ALL PLANS | NHN/MNA-ALL PLANS | $0.47 | $11.00 | $9.90 | 2026-01-23 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $0.47 | $11.00 | $9.90 | 2026-01-23 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | TRICARE IP/OP ONLY - ALL PLANS | TRICARE IP/OP ONLY - ALL PLANS | $0.48 | $11.25 | $5.63 | 2026-03-23 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $0.50 | $80.00 | $64.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $0.50 | $80.00 | $64.00 | 2026-03-26 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.54 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $0.54 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $0.54 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $0.54 | — | — | 2025-08-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | $0.54 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $0.54 | $80.00 | $64.00 | 2026-03-26 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $0.55 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $0.55 | — | — | 2025-08-01 | MRF ↗ |
| PURCELL MUNICIPAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.55 | $12.81 | $7.69 | 2026-02-24 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | UHC MCR ADV | UHC MCR ADV | $0.56 | $13.00 | $13.00 | 2026-02-09 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $0.56 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $0.56 | — | — | 2025-08-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.58 | $29.00 | — | 2026-03-31 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $0.60 | $80.00 | $64.00 | 2026-03-26 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $0.61 | — | — | 2025-10-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.62 | $14.55 | $8.73 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | COMMUNITY CARE COMM - ALL OTHER PLANS | COMMUNITY CARE COMM - ALL OTHER PLANS | $0.62 | $14.55 | $8.73 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $0.62 | $14.55 | $8.73 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $0.62 | $14.55 | $8.73 | 2026-01-24 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $0.62 | $14.55 | $8.73 | 2026-01-24 | MRF ↗ |
| COLUSA MEDICAL CENTER Outpatient | ANTHEM BLUE CROSS - ALL OTHER PLANS | ANTHEM BLUE CROSS - ALL OTHER PLANS | $0.63 | $14.70 | $8.82 | 2026-01-13 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|All Other Plans | $0.64 | $3.01 | $0.89 | 2026-02-28 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $0.64 | — | — | 2026-03-01 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.64 | $15.00 | $15.00 | 2026-02-10 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.64 | $2.48 | $1.49 | 2025-09-13 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $0.64 | $15.00 | $15.00 | 2026-02-10 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $0.64 | — | — | 2025-10-24 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $0.64 | $15.00 | $11.25 | 2026-05-08 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.64 | $15.00 | $15.00 | 2026-02-10 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $0.64 | — | — | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|All Other Plans | $0.64 | $3.01 | $0.89 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|Affiliated Payers | $0.64 | $3.01 | $0.89 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|Affiliated Payers | $0.64 | $3.01 | $0.89 | 2026-02-28 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $0.64 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $0.66 | $3.46 | $0.93 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $0.66 | $3.46 | $0.93 | 2026-01-31 | 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 | $0.66 | $3.46 | $0.93 | 2026-01-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $0.67 | — | — | 2025-08-01 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.73 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| Perry Hospital Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.73 | $17.08 | $9.61 | 2025-06-10 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.73 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS Outpatient | ALLIANT-ALL PLANS | ALLIANT-ALL PLANS | $0.73 | $17.08 | $9.61 | 2025-06-10 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.73 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.73 | $100.00 | — | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $0.73 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $0.73 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $0.73 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | HMO | $0.74 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | HMO | $0.74 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.74 | $17.28 | $17.28 | 2026-03-02 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $0.74 | $17.30 | $10.90 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $0.74 | $17.30 | $10.90 | 2026-03-25 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $0.74 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $0.74 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.75 | $4.27 | $2.99 | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.75 | $4.27 | $2.99 | 2025-08-08 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.75 | $71.70 | $71.70 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.76 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $0.76 | $3.46 | $1.25 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.76 | $3.46 | $0.69 | 2026-01-27 | MRF ↗ |
| PURCELL MUNICIPAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.77 | $18.14 | $10.88 | 2026-02-24 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.78 | $82.00 | $40.68 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $0.78 | $82.00 | $40.68 | 2026-02-28 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $0.79 | $18.50 | $11.66 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $0.79 | $18.50 | $11.66 | 2026-03-25 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $6.88 | $4.47 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $0.82 | $3.46 | $0.62 | 2026-01-30 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MED ADV | HEALTHNET MED ADV | $0.83 | $4.60 | $0.83 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $0.83 | $4.60 | $0.83 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HUMANA MED ADV - ALL PLANS | HUMANA MED ADV - ALL PLANS | $0.83 | $4.60 | $0.83 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $0.84 | $3.46 | $0.93 | 2026-01-31 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $0.85 | $4.00 | $2.77 | 2026-02-12 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP COMM - ALL OTHER PLANS | SWHP COMM - ALL OTHER PLANS | $0.85 | $20.00 | $13.00 | 2026-05-07 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $0.85 | $20.00 | $20.00 | 2026-01-15 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Commercial|All Plans | $0.85 | $3.01 | $1.72 | 2026-02-28 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Network Benefit | $0.87 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | HMO | $0.87 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | HMO | $0.87 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Network Benefit | $0.87 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Open Access | $0.87 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Open Access | $0.87 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.88 | $48.00 | $19.20 | 2026-05-13 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $0.88 | $3.01 | $1.56 | 2026-02-28 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.88 | $48.00 | $19.20 | 2026-05-22 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $0.88 | $3.01 | $1.56 | 2026-02-28 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | First Health | All Products | $0.89 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | First health International | $0.89 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | First Health | All Products | $0.89 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | First health International | $0.89 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $0.90 | $3.46 | $0.24 | 2026-01-25 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $0.92 | $6.14 | — | 2025-07-30 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $0.94 | $22.00 | $18.70 | 2026-03-11 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | TRICARE IP/OP ONLY - ALL PLANS | TRICARE IP/OP ONLY - ALL PLANS | $0.94 | $22.00 | $11.00 | 2026-03-23 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $0.94 | $22.12 | $22.12 | 2026-03-02 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.94 | $74.00 | $11.10 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.94 | $74.00 | $11.10 | 2025-12-23 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $0.96 | $52.64 | $20.52 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $0.96 | $52.64 | $20.52 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $0.96 | $52.64 | $20.52 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $0.96 | $52.64 | $20.52 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $0.96 | $52.64 | $20.52 | 2024-06-27 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $0.96 | $3.46 | $0.62 | 2026-01-30 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $0.96 | $52.64 | $20.52 | 2024-06-27 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Memorial Integrated Health | All Products | $0.98 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | VANTAGE HEALTH-ALL OTHER PLANS | VANTAGE HEALTH-ALL OTHER PLANS | $0.98 | $23.00 | $23.00 | 2026-05-07 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MOLINA | EXCHANGE | $0.98 | $6.14 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MOLINA | EXCHANGE | $0.98 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | MOLINA | EXCHANGE | $0.98 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $0.98 | $6.14 | — | 2025-07-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Memorial Integrated Health | All Products | $0.98 | $2.00 | $1.30 | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $0.98 | $6.14 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | EXCHANGE | $0.98 | $6.14 | — | 2025-07-30 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | CIGNA MCR ADV | CIGNA MCR ADV | $0.98 | $23.00 | $23.00 | 2026-05-07 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.99 | $6.14 | — | 2025-07-30 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $0.99 | $54.00 | $37.80 | 2025-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $214.00 | $175.48 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $341.31 | $221.85 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $214.00 | $175.48 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $341.31 | $221.85 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $214.00 | $175.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $214.00 | $175.48 | 2025-11-26 | 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.