87901 — Nfct Agt Gntyp Alys Hiv1 Rev
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NFCT AGT GNTYP ALYS HIV1 REV (CPT 87901) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87901?code_type=CPT
MLA (9th ed.)
“NFCT AGT GNTYP ALYS HIV1 REV (CPT 87901) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87901?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NFCT AGT GNTYP ALYS HIV1 REV (CPT 87901) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87901?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $255–$653 (25th–75th percentile) across 2,950 hospitals · 8,343 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87901 — 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
$255
$311 typical
$653
The middle 50% of negotiated facility rates for this procedure, measured across 2,950 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $311 |
| Likely subtotal | $311 |
Facility charge (no separate professional fee)
$311
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 $255–$653.
- 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 | — | $1,254.00 | $1,065.90 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $261.00 | $221.85 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $1,254.00 | $1,065.90 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,177.21 | $1,088.60 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,177.21 | $1,088.60 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $261.00 | $221.85 | 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 | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $398.44 | $258.99 | 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 | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,209.00 | — | 2026-07-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA WORKERS COMP | $0.95 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,776.00 | $1,154.40 | 2026-06-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA WORKERS COMP | $0.95 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,776.00 | $1,154.40 | 2026-06-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,324.00 | $993.00 | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,324.00 | $993.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,324.00 | $993.00 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,396.00 | $1,047.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,396.00 | $1,047.00 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,396.00 | $1,047.00 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $262.60 | $215.33 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $262.60 | $215.33 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,324.00 | $993.00 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,324.00 | $993.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,396.00 | $1,047.00 | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $262.60 | $215.33 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,309.00 | $981.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $262.60 | $215.33 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $1,480.00 | $1,110.00 | 2026-06-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $262.60 | $215.33 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $81.12 | $60.84 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $262.60 | $215.33 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,396.00 | $1,047.00 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,763.00 | $1,322.25 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $944.18 | $257.45 | 2026-09-05 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,868.00 | $1,401.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $1,776.00 | $1,154.40 | 2026-06-15 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - MCS | $2.01 | $300.00 | $225.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $2.11 | $300.00 | $225.00 | 2026-04-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Bcn Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Hap Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Senior Community Health | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Mclaren Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicare | Part A & B | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Php Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Covenant Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicare Plus Blue | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Humana Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | U-M Health Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Priority Health Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Aetna Medicare Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medigold | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Sparrow Advantage | Hmo | $2.40 | $10.01 | $2.50 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $2.45 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicare | Part A & B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Senior Community Care | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Covenant Advantage | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Bcn Medicare Advantage | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Medicare Plus Blue | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Aetna Medicare Advantage | Hmo | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Senior Community Health | Hmo | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Medigold | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicare Plus Blue | Hmo | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Aetna Medicare Advantage | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Medicare | Part A&B | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medigold | Hmo | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Covenant Advantage | Hmo | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Bcn Medicare Advantage | Hmo | $2.58 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Humana Medicare Advantage | Hmo | $2.71 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Humana Medicare Advantage | Part A&B | $2.71 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Mclaren Medicare Advantage | Hmo | $2.71 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Hap Medicare Advantage | Hmo | $2.71 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Hap Medicare Advantage | Part A&B | $2.73 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Priority Health Medicare Advantage | Part A&B | $2.73 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Priority Health Medicare Advantage | Hmo | $2.73 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Mclaren Medicare Advantage | Part A&B | $2.73 | $10.31 | $2.58 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $3.27 | $35.20 | $35.20 | 2024-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $3.43 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $627.90 | $188.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $1,377.00 | $413.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $1,377.00 | $413.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $627.90 | $188.37 | 2026-09-21 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Priority | Ppo | $3.63 | $10.31 | $2.58 | 2026-10-12 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $3.75 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $3.77 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $3.77 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.81 | $81.12 | $81.12 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.81 | $81.12 | $81.12 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.81 | $81.00 | $81.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $3.83 | $81.45 | $81.45 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $4.09 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $4.13 | $81.00 | $81.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $4.14 | $81.12 | $81.12 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $4.14 | $81.12 | $81.12 | 2024-10-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Mclaren Commercial | Ppo | $4.15 | $10.31 | $2.58 | 2026-10-12 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $4.17 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $4.19 | $89.10 | $89.10 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $4.20 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $4.20 | $490.00 | $490.00 | 2026-06-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | United Health Care | Ppo | $4.52 | $10.31 | $2.58 | 2026-10-12 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $4.54 | $89.10 | $89.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians | MGMCR | $4.56 | $89.38 | $89.38 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | HIX | $4.58 | $35.20 | $35.20 | 2024-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $4.66 | $931.00 | $931.00 | 2026-06-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $398.44 | $258.99 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $398.44 | $258.99 | 2025-11-26 | 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.