87903 — Phenotype DNA HIV W/culture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PHENOTYPE DNA HIV W/CULTURE (HCPCS 87903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87903?code_type=HCPCS
MLA (9th ed.)
“PHENOTYPE DNA HIV W/CULTURE (HCPCS 87903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87903?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PHENOTYPE DNA HIV W/CULTURE (HCPCS 87903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87903?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $489–$1,180 (25th–75th percentile) across 2,172 hospitals · 5,005 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87903 — 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
$489
$539 typical
$1,180
The middle 50% of negotiated facility rates for this procedure, measured across 2,172 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $539 |
| Likely subtotal | $539 |
Facility charge (no separate professional fee)
$539
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 $489–$1,180.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $4,772.38 | $2,386.19 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,772.38 | $2,386.19 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,221.00 | — | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $3,372.00 | $2,191.80 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $3,372.00 | $2,191.80 | 2026-06-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $995.00 | $746.25 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $5,787.00 | $4,340.25 | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $995.00 | $746.25 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,792.14 | $488.66 | 2026-09-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $3,341.00 | $2,505.75 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $995.00 | $746.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $995.00 | $746.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $3,341.00 | $2,505.75 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $3,341.00 | $2,505.75 | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $3,341.00 | $2,505.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $6,350.00 | $4,762.50 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $3,341.00 | $2,505.75 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $995.00 | $746.25 | 2026-09-02 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $3,372.00 | $2,191.80 | 2026-06-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $789.70 | $236.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $2,614.00 | $784.20 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $2,614.00 | $784.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $789.70 | $236.91 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $4.59 | $173.08 | — | 2026-08-17 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $4.92 | $173.08 | — | 2026-08-17 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $5.00 | $2,111.00 | $1,266.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $5.00 | $2,111.00 | $1,266.60 | 2026-09-21 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $1,466.00 | $806.30 | 2026-03-31 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $5.50 | $2,111.00 | $1,266.60 | 2026-09-21 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $5.60 | $109.72 | $109.72 | 2024-10-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $8.35 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $8.35 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $8.41 | $116.75 | $116.75 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $8.41 | $116.75 | $116.75 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $8.42 | $108.00 | $108.00 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $8.42 | $108.00 | $108.00 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $8.48 | $117.76 | $117.76 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $8.48 | $117.76 | $117.76 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Optimum Healthcare | PFFS | $8.56 | $109.72 | $109.72 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Optimum Healthcare | PPO | $8.56 | $109.72 | $109.72 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Freedom Health Care | MCR | $8.56 | $109.72 | $109.72 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $8.56 | $109.72 | $109.72 | 2024-10-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $8.88 | $88.76 | $50.69 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $8.88 | $88.76 | $50.69 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $9.08 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $9.42 | $117.76 | $117.76 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $9.63 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | AvMed | HIX | $9.87 | $109.72 | $109.72 | 2024-10-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | MedCare Partners | MGMCR | $10.18 | $67.85 | $67.85 | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | $10.18 | $67.85 | $67.85 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 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.