87493 — Detection Test By Nucleic Acid For Clostridium Difficile, Amplified Probe Technique
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Detection test by nucleic acid for clostridium difficile, amplified probe technique (CPT 87493) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87493?code_type=CPT
MLA (9th ed.)
“Detection test by nucleic acid for clostridium difficile, amplified probe technique (CPT 87493) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87493?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Detection test by nucleic acid for clostridium difficile, amplified probe technique (CPT 87493) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87493?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39–$179 (25th–75th percentile) across 3,125 hospitals · 10,566 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87493 — 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
$39
$86 typical
$179
The middle 50% of negotiated facility rates for this procedure, measured across 3,125 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $86 |
| Likely subtotal | $86 |
Facility charge (no separate professional fee)
$86
- 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 | — | $250.00 | $212.50 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $250.00 | $212.50 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $219.95 | $109.98 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $250.00 | $212.50 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $250.00 | $212.50 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $219.95 | $109.98 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $250.00 | $212.50 | 2025-01-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.12 | $292.50 | $292.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.12 | $292.50 | $292.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.12 | $292.50 | $292.50 | 2026-03-27 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.12 | $85.00 | $63.75 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.12 | $292.50 | $292.50 | 2026-03-27 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Outpatient | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.16 | $155.00 | $46.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Outpatient | BLUE CROSS [10001] | Blue Cross HMO | $0.16 | $155.00 | $46.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Outpatient | BLUE CROSS [10001] | Blue Cross PPO | $0.16 | $155.00 | $46.50 | 2026-04-01 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL- NEW ORLEANS, LLC Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | $111.81 | — | 2025-06-16 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL - CENTRAL Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | — | $111.81 | 2025-10-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.29 | $294.50 | $88.35 | 2026-04-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $0.30 | $292.50 | $292.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $0.30 | $292.50 | $292.50 | 2026-03-27 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $0.66 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $0.68 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Ambetter | Commercial-Exchange | $0.94 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $0.96 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $0.96 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Ambetter | Commercial-Exchange | $0.97 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $0.99 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $0.99 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $172.00 | $141.04 | 2025-11-26 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | WPPA ProviDrs Care Network | UnifiedHealthPlan | $1.01 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | WPPA ProviDrs Care Network | UnifiedHealthPlan | $1.05 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $1.09 | $37.27 | $37.27 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $1.09 | $37.27 | $37.27 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $1.09 | $37.27 | $37.27 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $1.09 | $37.27 | $37.27 | 2026-03-27 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.14 | $824.00 | $304.88 | 2026-03-31 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $1.20 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | OptionsPPO | $1.27 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.29 | $128.72 | $128.72 | 2026-03-18 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $1.31 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $1.36 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.40 | $128.72 | $128.72 | 2026-03-18 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $1.42 | $5.46 | $3.28 | 2025-09-13 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | Preferred-CareBlue(PPO) | $1.51 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | Blue-Care(HMO) | $1.51 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.51 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.51 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | BlueAccess | $1.51 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.51 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.55 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.59 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.60 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.63 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.64 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.68 | $225.70 | $135.42 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.68 | $225.70 | $135.42 | 2025-08-11 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Universal Healthcare | MCR | $1.76 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Universal Healthcare | MCR | $1.83 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetwork | $1.88 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | PC | $1.88 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.94 | $95.00 | $95.00 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.96 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.96 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.00 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.00 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.00 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.00 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna | FHMedicalRental | $2.03 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Coventry | WCOMP | $2.03 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.04 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | PC | $2.07 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Coventry KC MO | WCOMP | $2.07 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | FreedomNetwork | $2.07 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.08 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.09 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry | WCOMP | $2.10 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna | FHMedicalRental | $2.10 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.12 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.13 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry KC MO | WCOMP | $2.14 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | Traditional | $2.14 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | Participating | $2.14 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | College Park Family Care Center | COMM | $2.17 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | Participating | $2.17 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | Traditional | $2.17 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.20 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.21 | $409.00 | $388.55 | 2026-02-20 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $2.23 | $37.27 | $37.27 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $2.23 | $37.27 | $37.27 | 2026-03-27 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $224.00 | — | 2025-06-28 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | Blue-Care(HMO) | $2.25 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | BlueAccess | $2.25 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | College Park Family Care Center | COMM | $2.25 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $2.27 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $2.35 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | OHA Network | MissouriWCOMP | $2.52 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna | NATIONALNAP | $2.57 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $2.59 | $254.00 | $165.10 | 2026-03-14 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | OHA Network | MissouriWCOMP | $2.62 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.66 | $255.80 | $255.80 | 2026-04-24 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | $2.67 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna | NATIONALNAP | $2.67 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Mmoh- Limited Access Products | $2.70 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Mmoh- Limited Access Products | $2.70 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Mmoh | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmo Cin. Hmo | Mmo Cin. Hmo | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh (Supermed) | Mmoh (Supermed) | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Medical Mutual | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Medical Mutual Advantage Classic Hmp | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Mmoh 94776 | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Medical Mutual (Supermed) | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Medical Mutual Of Ohio | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Mmoh Of Ohio | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Medical Mutual - Secondary | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Mmoh-Network Administrative Services (Nas) | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Mmoh Of Oh 6018 | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Mmoh | Medical Mutual 94776 | $2.76 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | $2.77 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Mmoh | $2.79 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh (Supermed) | Mmoh (Supermed) | $2.79 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | Preferred-CareBlue(PPO) | $2.88 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.06 | $65.16 | $65.16 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.06 | $65.16 | $65.16 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | CorVel Corporation | MOWC | $3.28 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.34 | $71.00 | $71.00 | 2026-03-01 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Mmoh-Network Administrative Services (Nas) | $3.36 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | CorVel Corporation | MOWC | $3.40 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $3.59 | $32.60 | $8.94 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $3.59 | $32.60 | $12.69 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $3.59 | $32.60 | $8.94 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $3.59 | $32.60 | $8.94 | 2026-02-28 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Self Pay Medicare | Self Pay No Insurance | $3.60 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Outpatient | Self Pay Medicare | Self | $3.60 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Multiplan | ComplimentaryNetwork | $3.73 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $3.73 | $81.00 | $52.65 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $3.73 | $81.00 | $52.65 | 2025-01-01 | MRF ↗ |
| Umc Transplantation Services BothFacility | Las Vegas Sand Corps | All Plans | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services BothFacility | GEHA-UHC | All Plans | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Medical Mutual Of Ohio | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| Umc Transplantation Services BothFacility | United Healthcare | Generic | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services BothFacility | United Healthcare | Golden Rule | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services BothFacility | United Healthcare | Oxford Health | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services BothFacility | United Healthcare | All Plans | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services BothFacility | American Postal Workers Health Plan | APWU | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services BothFacility | United Healthcare | UMR | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Medical Mutual Advantage Classic Hmp | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| Umc Transplantation Services BothFacility | SUREST | All Plans | $3.78 | $212.00 | $65.72 | 2025-12-27 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmo Cin. Hmo | Mmo Cin. Hmo | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Medical Mutual 94776 | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3.78 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Medical Mutual (Supermed) | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Mmoh Of Oh 6018 | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Medical Mutual | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Mmoh Of Ohio | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Medical Mutual - Secondary | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Mmoh | Mmoh 94776 | $3.78 | $6.00 | $3.60 | 2026-05-08 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $3.82 | $5.46 | $3.28 | 2025-09-13 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $3.82 | $5.46 | $3.28 | 2025-09-13 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Multiplan | ComplimentaryNetwork | $3.87 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Outpatient | MENTAL HEALTH NETWORK INC [4052] | MENTAL HEALTH NETWORK INC [405201] | $4.00 | $200.00 | $53.00 | 2024-05-13 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Evernorth (Cigna) Behavioral Health | COMMBH | $4.03 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | CCO, Inc. | WORKERSCOMPPPO | $4.28 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE SHIELD-ALL PLANS | BLUE SHIELD-ALL PLANS | $4.28 | $5.46 | $3.28 | 2025-09-13 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | CCO, Inc. | COMM | $4.28 | $5.04 | $5.04 | 2026-03-01 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Eastern Oregon Coordinated Care Organization | Medicaid HMO | $4.31 | $182.85 | $182.85 | 2025-02-06 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE CROSS-ALL OTHER PLANS | BLUE CROSS-ALL OTHER PLANS | $4.37 | $5.46 | $3.28 | 2025-09-13 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.40 | $196.75 | $196.75 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | COMM | — | $196.75 | $196.75 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | $356.00 | $356.00 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.40 | $356.00 | $356.00 | 2024-10-01 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $4.42 | $156.00 | $93.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $4.42 | $156.00 | $93.60 | 2026-02-12 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | CCO, Inc. | WORKERSCOMPPPO | $4.45 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | CCO, Inc. | COMM | $4.45 | $5.23 | $5.23 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $4.45 | $57.00 | $57.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $4.69 | $65.16 | $65.16 | 2026-03-01 | 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.