87633 — Resp Virus 12-25 Targets
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RESP VIRUS 12-25 TARGETS (CPT 87633) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87633?code_type=CPT
MLA (9th ed.)
“RESP VIRUS 12-25 TARGETS (CPT 87633) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87633?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RESP VIRUS 12-25 TARGETS (CPT 87633) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87633?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $417–$952 (25th–75th percentile) across 2,675 hospitals · 9,137 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87633 — 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
$417
$563 typical
$952
The middle 50% of negotiated facility rates for this procedure, measured across 2,675 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $563 |
| Likely subtotal | $563 |
Facility charge (no separate professional fee)
$563
- 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 | — | $1,284.00 | $1,091.40 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $1,314.00 | $1,116.90 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,706.62 | $1,853.31 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,706.62 | $1,853.31 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $1,284.00 | $1,091.40 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,314.00 | $1,116.90 | 2025-01-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,666.00 | — | 2025-06-28 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $2.45 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna Whole Health | $2.55 | $2,102.00 | $1,576.50 | 2026-04-01 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $2.65 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Epic Americas | AXA Assistance | $2.81 | $2,102.00 | $1,576.50 | 2026-04-01 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $3.10 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | SUNFLOWER MCR | SUNFLOWER MCR | $3.10 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $3.10 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Inpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | HMO | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | AMBETTER EXCH - ALL PLANS | AMBETTER EXCH - ALL PLANS | $3.41 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medi-Cal | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Outpatient | MENTAL HEALTH NETWORK INC [4052] | MENTAL HEALTH NETWORK INC [405201] | $4.00 | $1,256.00 | $334.00 | 2024-05-13 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $4.25 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $4.25 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.48 | $431.10 | $431.10 | 2026-04-24 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $4.50 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $4.75 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | SUNFLOWER MCAID - ALL OTHER PLANS | SUNFLOWER MCAID - ALL OTHER PLANS | $5.00 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $2,727.00 | $1,499.85 | 2026-03-31 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $5.00 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| TREGO COUNTY LEMKE MEMORIAL HOSPITAL Outpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $5.00 | $5.00 | $4.25 | 2026-03-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medicare Advantage | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $6.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $6.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $6.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $6.26 | — | — | 2026-04-01 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | Tri Care Healthnet (12100) | — | $6.41 | $240.00 | $240.00 | 2026-06-15 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $404.00 | $171.70 | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $404.48 | $171.91 | 2026-01-29 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Medicaid | Medicaid | $7.07 | $117.83 | $117.83 | 2025-03-31 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | PPO | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $2,170.97 | $1,302.58 | 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 | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $8.42 | $1,552.00 | $512.16 | 2026-01-13 | MRF ↗ |
| Centra Specialty Hospital BothFacility | None | — | — | $793.00 | $261.69 | 2026-01-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,170.97 | $1,302.58 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $1,910.06 | $1,146.04 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,170.97 | $1,302.58 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $10.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $10.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $10.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-23 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $10.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-18 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $10.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $10.46 | $1,025.00 | $666.25 | 2026-03-14 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $11.00 | $1,910.06 | $1,146.04 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Commercial | $11.00 | $1,910.06 | $1,146.04 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $2,170.97 | $1,302.58 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | United Healthcare | Commercial | $11.00 | $1,910.06 | $1,146.04 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $11.00 | $1,910.06 | $1,146.04 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | United Healthcare | Commercial | $11.00 | $1,910.06 | $1,146.04 | 2026-02-20 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $1,871.81 | $1,123.09 | 2026-02-18 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $11.70 | $249.01 | $249.01 | 2026-03-01 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $12.00 | $76.00 | $76.00 | 2025-11-07 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Blue Cross Blue Shield | Traditional | $12.61 | $117.83 | $117.83 | 2025-03-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $12.73 | $909.00 | $336.33 | 2026-03-31 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Other | BRIGHTON HEALTH | $13.00 | $3,417.00 | $3,404.00 | 2025-11-19 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Medicare A KY J15 | Default | $13.07 | $46.00 | $18.40 | 2026-03-02 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $13.07 | $46.00 | $18.40 | 2026-03-02 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Default | $13.07 | $46.00 | $18.40 | 2026-03-02 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $630.20 | $409.63 | 2025-11-26 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | $13.34 | $46.00 | $18.40 | 2026-03-02 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | UHC Medicare Solution | Default | $13.34 | $46.00 | $18.40 | 2026-03-02 | MRF ↗ |
| MARSHALL MEDICAL CENTERS Both | CIGNA | CIGNA COMMERCIAL | $13.75 | $55.00 | $55.00 | 2026-04-13 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $13.87 | $92.44 | $92.44 | 2026-03-01 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Aetna Medicare Advantage | Default | $14.26 | $46.00 | $18.40 | 2026-03-02 | MRF ↗ |
| KIOWA DISTRICT HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $15.99 | $41.00 | $32.80 | 2026-03-04 | MRF ↗ |
| ROCK COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Nebraska | Medicare Advantage | $16.00 | $45.00 | $43.00 | 2025-05-12 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $16.23 | $108.18 | $108.18 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $16.36 | $92.44 | $92.44 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $16.36 | $92.44 | $92.44 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $16.36 | $92.44 | $92.44 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $16.39 | $348.80 | $348.80 | 2026-03-01 | MRF ↗ |
| CARY MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Cigna | Commercial | $16.61 | $117.83 | $117.83 | 2025-03-31 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Cigna | Commercial | $16.71 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthcare | Commercial | $16.71 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $16.95 | $339.00 | $339.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $16.95 | $339.00 | $339.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $16.95 | $339.00 | $339.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $16.95 | $339.00 | $339.00 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $1,563.00 | $1,281.66 | 2025-11-26 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $17.38 | $407.00 | $407.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $17.38 | $407.00 | $407.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Commercial | $17.55 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Commercial | $17.55 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $17.55 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $17.55 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $17.58 | $293.00 | $117.20 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $17.58 | $293.00 | $117.20 | 2026-05-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $17.70 | $407.00 | $407.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $17.70 | $407.00 | $407.00 | 2026-04-30 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $17.93 | $249.01 | $249.01 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $17.93 | $249.01 | $249.01 | 2026-03-01 | MRF ↗ |
| ENCINO HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $18.38 | $61.25 | $541.00 | 2024-12-19 | MRF ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Keenan | Keenan | $18.38 | $490.00 | $541.00 | 2024-12-19 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Blue Shield CA | Commercial|Exchange | $18.72 | $78.00 | $37.83 | 2026-02-28 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $18.95 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $18.95 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $18.95 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $18.95 | $35.10 | $35.10 | 2026-04-30 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $19.00 | $49.00 | $29.00 | 2026-05-22 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $19.04 | $1,915.00 | $1,149.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $19.04 | $1,915.00 | $1,149.00 | 2026-02-12 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $19.13 | $448.00 | $448.00 | 2026-05-15 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $19.15 | $108.18 | $108.18 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $19.15 | $108.18 | $108.18 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $19.15 | $108.18 | $108.18 | 2026-03-01 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Keenan | Keenan | $19.20 | $64.00 | $541.00 | 2024-12-19 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | New Mexico Medicaid Managed Care | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare Network Private Fee-For-Service Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Workers' Compensation Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | HMO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | PHCS Primary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Corvel Healthcare Corporation | CorCare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | Indemnity | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Dual Options (Medicare-Medicaid Program (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico Medicaid Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PAR | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Auto Medical Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | POS | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | 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.