87536 — Detection Test By Nucleic Acid For HIV-1 Virus, Quantification
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Detection test by nucleic acid for HIV-1 virus, quantification (HCPCS 87536) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87536?code_type=HCPCS
MLA (9th ed.)
“Detection test by nucleic acid for HIV-1 virus, quantification (HCPCS 87536) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87536?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Detection test by nucleic acid for HIV-1 virus, quantification (HCPCS 87536) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87536?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $85–$356 (25th–75th percentile) across 3,056 hospitals · 10,794 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87536 — 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
$85
$156 typical
$356
The middle 50% of negotiated facility rates for this procedure, measured across 3,056 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $156 |
| Likely subtotal | $156 |
Facility charge (no separate professional fee)
$156
- 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 | — | $552.00 | $469.20 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $832.50 | $416.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $832.50 | $416.25 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $552.00 | $469.20 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $552.00 | $469.20 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $552.00 | $469.20 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $811.00 | $689.35 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.12 | $433.00 | $324.75 | 2026-03-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $86.70 | $71.09 | 2025-11-26 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $1.36 | $399.00 | $239.40 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $1.36 | $399.00 | $239.40 | 2026-02-12 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Humana | MCR | — | — | — | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $540.00 | — | 2025-06-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.60 | $497.00 | $183.89 | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.72 | $175.00 | $175.00 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.72 | $175.00 | $175.00 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.72 | $293.90 | $293.90 | 2026-03-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $630.40 | $409.76 | 2025-11-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $3.03 | $634.00 | $507.20 | 2026-03-26 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.12 | $293.90 | $293.90 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.12 | $175.00 | $175.00 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.12 | $175.00 | $175.00 | 2026-03-18 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $3.20 | — | — | 2025-10-24 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Inpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | HMO | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $3.35 | — | — | 2025-10-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.40 | $121.19 | $121.19 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.40 | $175.00 | $175.00 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.40 | $175.00 | $175.00 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.44 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.52 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.52 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medi-Cal | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.53 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.56 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.56 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.56 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.62 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.65 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.75 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.84 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Outpatient | MENTAL HEALTH NETWORK INC [4052] | MENTAL HEALTH NETWORK INC [405201] | $4.00 | $225.00 | $60.00 | 2024-05-13 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $4.44 | $115.98 | $115.98 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.52 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.61 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.61 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.61 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.70 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.71 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.71 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.71 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.71 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.80 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.88 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.90 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $4.95 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $4.95 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $4.95 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $4.95 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $4.95 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $4.95 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $555.73 | $305.65 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.00 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.19 | $961.00 | $912.95 | 2026-02-20 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $5.20 | $65.00 | $11.70 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $5.20 | $65.00 | $11.70 | 2026-02-25 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $5.20 | $65.00 | — | 2025-11-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $5.39 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $5.39 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $5.40 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $5.40 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $5.45 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $5.63 | $541.35 | $541.35 | 2026-04-24 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | PFFS | $5.84 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRHMO | $5.84 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRPPO | $5.84 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Freedom Health Care | MGMGR | $5.84 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Freedom Health Care | MGMGR | $5.85 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $5.85 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $5.85 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | PFFS | $5.85 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Suncoast Neighborly Care | MedicarePACE | $5.99 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | AvMed | HIX | $5.99 | $74.93 | $74.93 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | AvMed | HIX | $6.00 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $6.00 | $75.00 | $75.00 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $6.00 | $60.00 | $34.26 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $6.04 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | HMO | — | $60.00 | $39.00 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $6.39 | $136.00 | $136.00 | 2026-03-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $6.60 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $6.60 | $60.00 | $16.44 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $6.60 | $60.00 | $16.44 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $6.60 | $60.00 | $16.44 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $6.60 | $60.00 | $23.34 | 2026-02-28 | MRF ↗ |
| Centra Specialty Hospital BothFacility | None | — | — | $671.00 | $221.43 | 2026-01-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $7.15 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $7.18 | $92.00 | $92.00 | 2026-03-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $60.00 | $39.00 | 2025-11-26 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | $7.50 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $7.50 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $7.50 | $377.00 | $377.00 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | $377.00 | $377.00 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $7.68 | $98.44 | $98.44 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $7.68 | $98.44 | $98.44 | 2024-10-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Cross | Blue Cross - Standard | $7.70 | $55.00 | $41.25 | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | PPO | — | $60.00 | $39.00 | 2025-11-26 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $7.80 | $108.28 | $108.28 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $7.80 | $108.28 | $108.28 | 2026-03-01 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $505.06 | $303.04 | 2026-02-21 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medicare Advantage | — | $171.15 | $111.24 | 2025-11-26 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.16 | $609.10 | $365.46 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.16 | $609.10 | $365.46 | 2025-08-11 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Cigna | Cigna - PPO | $8.25 | $55.00 | $41.25 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - Promise | $8.25 | $55.00 | $41.25 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Medi-Cal | $8.25 | $55.00 | $41.25 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | United Healthcare | United Healthcare - Medicare | $8.25 | $55.00 | $41.25 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $8.35 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $8.35 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $8.40 | $60.00 | $16.74 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $8.40 | $60.00 | $16.74 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | HIX | $8.45 | $65.00 | $65.00 | 2024-10-01 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | LSU FIRST CHOICE - ALL PLANS | LSU FIRST CHOICE - ALL PLANS | $8.49 | $310.00 | $155.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | LSU FIRST CHOICE - ALL PLANS | LSU FIRST CHOICE - ALL PLANS | $8.49 | $310.00 | $155.00 | 2026-03-18 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $8.51 | $128.00 | $83.20 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $8.51 | $128.00 | $83.20 | 2025-01-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | Commercial | $8.56 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $8.66 | $108.28 | $108.28 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $8.86 | $98.44 | $98.44 | 2024-10-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.90 | $609.10 | $365.46 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.90 | $609.10 | $365.46 | 2025-08-11 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $699.33 | $419.60 | 2026-02-24 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna | PPO | $9.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $505.06 | $303.04 | 2026-02-20 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna | HMO | $9.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $505.06 | $303.04 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $505.06 | $303.04 | 2026-02-20 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $9.04 | $311.00 | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $9.04 | $311.00 | — | 2025-12-27 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $9.05 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Freedom Health Care | MGMGR | $9.05 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | PFFS | $9.05 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $9.05 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.09 | $454.50 | — | 2026-03-31 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | HIX | $9.28 | $116.00 | $116.00 | 2026-03-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Community Health Options | Commercial | $9.35 | $11.00 | $9.90 | 2026-04-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE HMO [164005] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN HMO [164035] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY HMO [164030] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS HMO [164002] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $9.54 | $79.48 | $43.71 | 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.