87635 — Amplifed DNA Or RNA Probe Detection Of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen (CPT 87635) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87635?code_type=CPT
MLA (9th ed.)
“Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen (CPT 87635) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87635?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen (CPT 87635) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87635?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51–$140 (25th–75th percentile) across 3,164 hospitals · 11,018 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87635 — 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
$51
$85 typical
$140
The middle 50% of negotiated facility rates for this procedure, measured across 3,164 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $85 |
| Likely subtotal | $85 |
Facility charge (no separate professional fee)
$85
- 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 | EmblemHealth | CBP | — | $193.00 | $164.05 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $193.00 | $164.05 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $460.75 | $230.38 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $460.75 | $230.38 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $193.00 | $164.05 | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL, THE Outpatient | Cigna | Commercial | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $193.00 | $164.05 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $193.00 | $164.05 | 2025-01-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medicare | Medicare | $0.06 | $303.00 | $227.25 | 2026-04-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.12 | $113.00 | $84.75 | 2026-03-26 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.25 | $252.33 | $75.70 | 2026-04-01 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL- NEW ORLEANS, LLC Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | $153.93 | — | 2025-06-16 | MRF ↗ |
| BEACON BEHAVIORAL HOSPITAL - CENTRAL Inpatient | ALL PLANS | HMO/PPO/POS/Self-Pay | — | — | $153.93 | 2025-10-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.37 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $0.58 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | THE ALLIANCE | THE ALLIANCE | $0.60 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WPS | WISCONSIN PHYSICIAN SERVICES | $0.60 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.65 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.65 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.70 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MHNET | MENTAL HEALTH ASSOCIATES | $0.80 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $0.83 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| ELECTRA MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $0.84 | $3.00 | $2.10 | 2026-03-11 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WEBTPA | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.84 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA EAP | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.84 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $0.84 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.86 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.86 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.86 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.86 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $0.87 | $0.01 | $0.01 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | VIVA | VIVA MEDICARE | $0.87 | $0.01 | $0.01 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | VIVA | VIVA MEDICARE | $0.87 | $0.01 | $0.01 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $0.87 | $0.01 | $0.01 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | AETNA | AETNA MEDICARE | $0.88 | $0.01 | $0.01 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | AETNA | AETNA MEDICARE | $0.88 | $0.01 | $0.01 | 2026-03-23 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | CIGNA EAP | MIDLANDS CHOICE PPO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | CIGNA | MIDLANDS CHOICE PPO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MULTIPLAN | MULTIPLAN | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | UNITY | UNITY HMO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $0.90 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.91 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.94 | $175.00 | $166.25 | 2026-02-20 | MRF ↗ |
| PALO ALTO COUNTY HOSPITAL Outpatient | Uhc | Medicare | $0.96 | $2.00 | $1.50 | 2026-05-06 | MRF ↗ |
| PALO ALTO COUNTY HOSPITAL Outpatient | United Behavioral Health | Medicare | $0.96 | $2.00 | $1.50 | 2026-05-06 | MRF ↗ |
| PALO ALTO COUNTY HOSPITAL Outpatient | Medigold | Medicare | $0.96 | $2.00 | $1.50 | 2026-05-06 | MRF ↗ |
| PALO ALTO COUNTY HOSPITAL Outpatient | Blue Cross | Medicare | $0.97 | $2.00 | $1.50 | 2026-05-06 | MRF ↗ |
| PALO ALTO COUNTY HOSPITAL Outpatient | Wellpoint | Medicare | $0.97 | $2.00 | $1.50 | 2026-05-06 | MRF ↗ |
| PALO ALTO COUNTY HOSPITAL Outpatient | Humana | Medicare | $0.99 | $2.00 | $1.50 | 2026-05-06 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Keenan | Keenan | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | UHC | UHC Commercial | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | SELF INSURANCE PLAN OF GREATER KC | SELF INSURANCE PLAN OF GREATER KC Commercial | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Keenan | Keenan | $1.00 | $291.75 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Compalliance | Compalliance | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Aetna | Medical Rental | $1.00 | $291.75 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | VALENZ ACCESS | Valenz Access | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Mclaren Health Plan | Mclaren Health Plan Commercial | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | Cushing Memorial | Cushing Memorial | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | SELF INSURANCE PLAN OF GREATER KC | SELF INSURANCE PLAN OF GREATER KC Commercial | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Commercial | $1.00 | $291.75 | $66.00 | 2024-12-19 | MRF ↗ |
| Crittenden Community Hospital OutpatientFacility | AETNA | ALL PRODUCTS | $1.00 | $1.00 | $1.00 | 2024-11-15 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Commercial | Non-Contracted Commercials - 80% of BC | $1.00 | $291.75 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Keenan | Keenan | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| Crittenden Community Hospital OutpatientFacility | CIGNA | ALL PRODUCTS | $1.00 | $1.00 | $1.00 | 2024-11-15 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Health Alliance Plan | Health Alliance Plan PPO - Non-Contracted | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | Non-Contracted Commercials - 80% of BC | Non-Contracted Commercials - 80% of BC | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $508.80 | $330.72 | 2025-11-26 | MRF ↗ |
| Crittenden Community Hospital OutpatientFacility | ENCORE PPO | ALL PRODUCTS | $1.00 | $1.00 | $1.00 | 2024-11-15 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Priority Health | Priority Health HMO And PPO | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Non-Contracted Commercial | Non-Contracted Commercials - 80% of BC | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Health Alliance Plan | Health Alliance Plan HMO - Non-Contracted | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Cushing | Cushing | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | Cigna | Cigna Commercial - Non-Contracted | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Valenz Access | Valenz Access Commercial | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Cigna | Cigna Commercial - Non-Contracted | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Cigna | Cigna Commercial - Non-Contracted | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Non-Contracted Commercials - 80% of BC | Non-Contracted Commercials - 80% of BC | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | Health Partners Of Kansas | Health Partners of Kansas Commercial | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | VALENZ ACCESS | Valenz Access Commercial | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $508.80 | $330.72 | 2025-11-26 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | Keenan | Keenan | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $1.00 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Keenan | Keenan | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | VALENZ ACCESS | Valenz Access Commercial | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Non-Contracted Commercials - 80% of BC | Non-Contracted Commercials - 80% of BC | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $524.00 | $429.68 | 2025-11-26 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Compalliance | Compalliance | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $1.00 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Health Alliance Plan | Health Alliance Plan AHL - Non-Contracted | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| SAINT JOHN HOSPITAL Outpatient | SELF INSURANCE PLAN OF GREATER KC | SELF INSURANCE PLAN OF GREATER KC Commercial | $1.00 | $0.01 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Cushing | Cushing | $1.00 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | BCBS | BCBS Commercial | $1.01 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | BCBS | BCBS Commercial | $1.01 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Medicaid | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Naphcare | Naphcare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Commercial | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | BCBS | BCBS Medicare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Humana | Humana Commercial | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Medicare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Celtic | Celtic Medicare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Midland Care Connection | Midland Care Connection | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Medicaid Adjusted Rate | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Cigna | Cigna Healthspring | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC VA CCN | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Humana | Humana Medicare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial Exchange | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Medicare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Tricare | Tricare | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Centurion | Centurion | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Well Path Prison | Well Path Prison | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Medicaid | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Medicaid Adjusted Rate | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Celtic | Celtic Ins Exchange | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Non-contracted Medicaid | Non-Contracted Medicaid | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial Exchange | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Centurion | Centurion | $1.09 | $81.96 | $66.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC VA CCN | $1.09 | $81.96 | $66.00 | 2024-12-19 | 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.