87799 — Detection Test By Nucleic Acid For Organism, Quantification
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Detection test by nucleic acid for organism, quantification (HCPCS 87799) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87799?code_type=HCPCS
MLA (9th ed.)
“Detection test by nucleic acid for organism, quantification (HCPCS 87799) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87799?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Detection test by nucleic acid for organism, quantification (HCPCS 87799) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87799?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $63–$338 (25th–75th percentile) across 3,060 hospitals · 10,532 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87799 — 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
$63
$177 typical
$338
The middle 50% of negotiated facility rates for this procedure, measured across 3,060 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $177 |
| Likely subtotal | $177 |
Facility charge (no separate professional fee)
$177
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $63–$338.
- 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 | — | $1,629.00 | $1,384.65 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $520.00 | $442.00 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $286.02 | $143.01 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $286.02 | $143.01 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $1,629.00 | $1,384.65 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $520.00 | $442.00 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $365.65 | $237.67 | 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 | — | $365.65 | $237.67 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $365.65 | $237.67 | 2025-11-26 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NM | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - RI | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - KS | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MN | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - HI | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - SC | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $0.06 | — | $5,338.00 | 2026-03-31 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.12 | $214.00 | $160.50 | 2026-03-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $255.00 | $165.75 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $255.00 | $165.75 | 2025-11-26 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $0.35 | $1.84 | $1.84 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | United | OptionsPPO | $0.43 | $1.84 | $1.84 | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Cigna | PPO | $0.58 | $1.84 | $1.84 | 2024-10-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $255.00 | $165.75 | 2025-11-26 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $0.83 | $1.84 | $1.84 | 2024-10-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.83 | $831.25 | $249.37 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.90 | $895.85 | $268.75 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.91 | $907.25 | $272.17 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.91 | $907.25 | $272.17 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.91 | $907.25 | $272.17 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.91 | $907.25 | $272.17 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.93 | $930.05 | $279.01 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.95 | $954.75 | $286.42 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.96 | $959.50 | $287.85 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.98 | $979.00 | $293.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.98 | $979.00 | $293.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.98 | $979.00 | $293.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | BCBS South Carolina SHP | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.99 | $986.10 | $295.83 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $365.65 | $237.67 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $374.90 | $307.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $83.68 | $68.62 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $365.65 | $237.67 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $374.90 | $307.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $374.90 | $307.42 | 2025-11-26 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.04 | $1,038.00 | $311.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $1.04 | $1,038.00 | $311.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $1.04 | $1,038.00 | $311.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $1.04 | $1,038.00 | $311.40 | 2026-04-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | City of Springfield | COMM | $1.20 | $1.84 | $1.84 | 2024-10-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.22 | $317.61 | $190.57 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.22 | $317.61 | $190.57 | 2025-08-11 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.31 | $186.50 | $69.00 | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.37 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.37 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.37 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.39 | $376.80 | $357.96 | 2026-02-20 | 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.