88120 — Cytp Urne 3-5 Probes Ea Spec
Cite this view
HANK Price Transparency. (n.d.). CYTP URNE 3-5 PROBES EA SPEC (CPT 88120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88120?code_type=CPT
“CYTP URNE 3-5 PROBES EA SPEC (CPT 88120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88120?code_type=CPT. Accessed .
“CYTP URNE 3-5 PROBES EA SPEC (CPT 88120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88120?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $179–$826 (25th–75th percentile) across 1,918 hospitals · 5,655 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88120 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 1,918 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $363 |
| Likely subtotal | $363 |
- 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 | None | — | — | $1,084.71 | $542.36 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,084.71 | $542.36 | 2024-12-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.46 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.47 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.47 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.68 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.68 | — | — | 2026-03-18 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,517.00 | — | 2025-06-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.28 | $1,265.00 | $172.65 | 2024-12-31 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $2.38 | $2,100.00 | $1,260.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $2.38 | $2,100.00 | $1,260.00 | 2026-02-12 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $1,126.00 | $619.30 | 2026-03-31 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $6.39 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6.39 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $6.39 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6.39 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $6.39 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $6.39 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $7.30 | $716.00 | $465.40 | 2026-03-14 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $8.80 | — | — | 2026-03-18 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $239.00 | $195.98 | 2025-11-26 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $10.08 | $910.00 | $218.12 | 2026-04-01 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | CORVEL Workers Comp | Corvel Workers Compensation | $12.10 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Cofinity Aetna | Cofinity Aetna Worker Compensation | $12.10 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | CORVEL Workers Comp | Corvel Workers Compensation | $12.10 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Cofinity Aetna | Cofinity Aetna Worker Compensation | $12.10 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | PRAXIS WORKERS COMP [5515] | AHS PRAXIS WC PREFERRED | $12.27 | $910.00 | $218.12 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | PRAXIS WORKERS COMP [5515] | AHS PRAXIS WC PREFERRED | $12.27 | $910.00 | $189.67 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | PRAXIS WORKERS COMP [5515] | AHS PRAXIS WC PREFERRED | $12.27 | $910.00 | $228.66 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | PRAXIS WORKERS COMP [5515] | AHS PRAXIS WC PREFERRED | $12.27 | $910.00 | $218.12 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | PRAXIS WORKERS COMP [5515] | AHS PRAXIS WC PREFERRED | $12.27 | $910.00 | $218.12 | 2026-04-01 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PRIME HEALTH SERVICES, INC. Workers Comp | Prime Health Services Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | AMERICAS CHOICE (ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | AMERICAS CHOICE (ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PRIME HEALTH SERVICES, INC. Workers Comp | Prime Health Services Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER SELECT, INC. Workers Comp | Provider Select Workers Compensation | $12.61 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER SELECT, INC. Workers Comp | Provider Select Workers Compensation | $12.61 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $12.73 | $1,810.60 | $1,086.36 | 2026-03-31 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $12.74 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $12.74 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Worker Compensation | Workers Compensation | $12.74 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Worker Compensation | Workers Compensation | $12.74 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM MEDICARE PFFS [5052] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICARE [5312] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICARE [5312] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM MEDICARE PFFS [5052] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | NMC HORIZON BRAVEN | $12.87 | $1,429.00 | $198.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | HMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | CMC HORIZON BRAVEN | $12.87 | $1,429.00 | $228.66 | 2026-01-01 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Medicaid | Medicaid | $12.92 | $215.31 | $215.31 | 2025-03-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $13.01 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $13.66 | — | — | 2026-05-06 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Los Angeles Sheriffs | Los Angeles Sheriffs | $13.84 | $316.20 | $277.00 | 2024-12-19 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CMC HORIZON NJ HEALTH | $14.46 | $910.00 | $218.12 | 2026-04-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $14.60 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $14.65 | — | — | 2026-05-06 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Aetna | Commercial | $15.00 | $30.00 | $30.00 | 2025-11-19 | MRF ↗ |
| Mesa View Regional Hospital Outpatient | ANTHEM BCBS MCR ADV | ANTHEM BCBS MCR ADV | $15.64 | $78.20 | $46.92 | 2026-01-29 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.94 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.94 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $16.94 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.40 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $256.20 | $256.20 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $17.42 | $256.20 | $256.20 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $256.20 | $256.20 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Children's Medical Services/Sunshine Health | Managed Medicaid | — | $257.25 | $257.25 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Simply Healthy Kids | Managed Medicaid | — | $257.25 | $257.25 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $17.49 | $257.25 | $257.25 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $17.56 | $258.30 | $258.30 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $17.56 | $258.30 | $258.30 | 2026-04-17 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.85 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $18.31 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $18.58 | $199.75 | $199.75 | 2024-10-01 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $316.20 | $277.00 | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| ENCINO HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $316.20 | $277.00 | 2024-12-19 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.23 | $5,196.00 | $4,936.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $19.23 | $5,196.00 | $4,936.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.23 | $5,196.00 | $4,936.20 | 2026-02-20 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $19.32 | $910.00 | $228.66 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $19.74 | $5,196.00 | $4,936.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.26 | $5,196.00 | $4,936.20 | 2026-02-20 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $20.34 | $910.00 | $189.67 | 2026-04-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,256.00 | $816.40 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,256.00 | $816.40 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $20.78 | $5,196.00 | $4,936.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $21.97 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $21.97 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $22.10 | $221.00 | $221.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $22.10 | $221.00 | $221.00 | 2026-04-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $22.43 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.43 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.43 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.43 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $22.49 | $346.00 | $224.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $22.49 | $346.00 | $224.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $22.49 | $346.00 | $224.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $22.49 | $346.00 | $224.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $22.49 | $346.00 | $224.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $22.49 | $346.00 | $224.90 | 2026-03-12 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.89 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| COOK HOSPITAL Both | None | — | — | $50.00 | $33.00 | 2024-06-20 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Blue Cross Blue Shield | Traditional | $23.04 | $215.31 | $215.31 | 2025-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.35 | $4,578.00 | $4,349.10 | 2026-02-20 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $23.70 | — | — | 2026-01-01 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Mailhandlers | 310304 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | United Medical Resources | 310341 | $23.70 | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | All Savers Insurance | 200321 | $23.70 | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $23.70 | — | — | 2026-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $23.70 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $23.70 | — | — | 2026-04-30 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Humana Care Plan | 300376 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | First Health Plan Choice | 200435 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Humana Peehip | 510122 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Healthspring Of Alabama | 300365 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | United Healthcare Uhc | 310300 | $23.70 | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Viva Uab Health Claims | 310345_2 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Viva Uab Health Claims | 310345_1 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Long Term Hospital Of Montgomery | 310303 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| Atrium Health Navicent Rehabilitation Hospital OutpatientFacility | United Healthcare | Commercial | $23.70 | — | — | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $23.70 | — | — | 2025-11-19 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $23.70 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $23.70 | — | — | 2026-04-30 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | First Health | 300351 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Aetna | 300308 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Geha | 200301 | $23.70 | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Golden Rule Insurance Company | 200453 | $23.70 | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Viva Health | 310302_1 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Health Choice | 300357 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Health Choice | 300357_1 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Corvel Corporation | 300342 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Aarp | 200303 | $23.70 | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL & CLINIC INC Both | Viva Health | 310302_2 | — | $593.00 | $112.67 | 2026-05-08 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $23.70 | — | — | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.81 | $4,578.00 | $4,349.10 | 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.