88121 — Cytp Urine 3-5 Probes Cmptr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CYTP URINE 3-5 PROBES CMPTR (CPT 88121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88121?code_type=CPT
MLA (9th ed.)
“CYTP URINE 3-5 PROBES CMPTR (CPT 88121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88121?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CYTP URINE 3-5 PROBES CMPTR (CPT 88121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88121?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $179–$646 (25th–75th percentile) across 1,940 hospitals · 4,067 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88121 — 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
$179
$310 typical
$646
The middle 50% of negotiated facility rates for this procedure, measured across 1,940 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $310 |
| Likely subtotal | $310 |
Facility charge (no separate professional fee)
$310
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 $179–$646.
- 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $974.42 | $487.21 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $974.42 | $487.21 | 2024-12-15 | 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 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S 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 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA US HEALTHCARE | $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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | 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 | 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 COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | 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 ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,936.51 | $2,558.73 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $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 ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,936.51 | $2,558.73 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $557.00 | $417.75 | 2026-09-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.46 | — | — | 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 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 | HMO | $1.68 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.68 | — | — | 2026-03-18 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.14 | $1,188.00 | $172.65 | 2024-12-31 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $3.14 | $3,135.00 | $940.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $3.14 | $3,135.00 | $940.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $3.14 | $3,135.00 | $940.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $3.14 | $3,135.00 | $940.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $3.14 | $3,135.00 | $940.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $3.14 | $3,135.00 | $940.50 | 2026-04-01 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $1,126.00 | $619.30 | 2026-03-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $5.26 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $5.42 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $5.42 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $5.52 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $5.58 | — | — | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $3,936.51 | $2,558.73 | 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 | — | $3,936.51 | $2,558.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $3,936.51 | $2,558.73 | 2025-11-26 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | BCBS FL | PHS | $8.51 | $27.46 | — | 2025-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $9.28 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $9.74 | — | — | 2026-05-06 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $9.77 | $1,359.00 | $289.87 | 2026-03-04 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | WORKERS COMPENSATION [20501] | All WORKERS COMP HA [42] Plans | $9.86 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $9.90 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $10.17 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $10.17 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $10.17 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | WORKERS COMPENSATION [20501] | All WORKERS COMP MH [27] Plans | $10.41 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $10.64 | — | — | 2026-05-06 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Health Medicaid | United Health Medicaid | $11.00 | $1,145.34 | $1,145.34 | 2026-07-17 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $11.17 | — | — | 2026-05-06 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | WORKERS COMPENSATION [20501] | All WORKERS COMP UM [16] Plans | $12.00 | $30.00 | $30.00 | 2026-03-26 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $12.36 | $63.24 | $198.00 | 2024-12-19 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $12.53 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $12.53 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $12.57 | $250.00 | $175.00 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $12.57 | $250.00 | $175.00 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $12.57 | $250.00 | $175.00 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $12.57 | $250.00 | $175.00 | 2026-05-27 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $12.84 | $624.00 | $230.88 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | HNE [11108] | All HEALTH NEW ENGLAND UM [82] Plans | $13.53 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Los Angeles Sheriffs | Los Angeles Sheriffs | $13.84 | $316.20 | $277.00 | 2024-12-19 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | FALLON CONNECTORCARE [10503] | All FALLON HMO UM [99] Plans | $14.22 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC [11111] | All UHC UM [126] Plans | $14.48 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC [11111] | All UHC SUREST UM [322] Plans | $14.48 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Both | WORKERS COMPENSATION [20501] | All WORKERS COMP HR [31] Plans | $14.63 | $30.00 | $30.00 | 2026-04-03 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $15.37 | $197.04 | $197.04 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $15.37 | $197.04 | $197.04 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $15.48 | $215.00 | $215.00 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $15.48 | $215.00 | $215.00 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $15.52 | $199.00 | $199.00 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $15.52 | $199.00 | $199.00 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $15.61 | $216.74 | $216.74 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $15.61 | $216.74 | $216.74 | 2026-03-01 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $15.70 | $523.20 | $523.20 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $15.70 | $523.20 | $523.20 | 2026-07-15 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | INSTITUTION [10406] | All FAIRLAWN REHAB [281] Plans | $15.90 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | INSTITUTION [10406] | All FAIRLAWN REHAB [281] Plans | $15.90 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | INSTITUTION [10406] | All FAIRLAWN REHAB [281] Plans | $15.90 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | UHC [11111] | All UHC HA [125] Plans | $16.11 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | UHC [11111] | All UHC SUREST HA [323] Plans | $16.11 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | UHC [11111] | All UHC SUREST MH [325] Plans | $16.33 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | UHC [11111] | All UHC MH [35] Plans | $16.33 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | HNE [11108] | All HEALTH NEW ENGLAND HA [87] Plans | $16.74 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $17.34 | $216.74 | $216.74 | 2026-03-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $17.38 | — | — | 2026-03-18 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HIX | $17.50 | $218.77 | $218.77 | 2026-03-01 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | HNE [11108] | All HEALTH NEW ENGLAND MH [203] Plans | $17.57 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $17.73 | $197.04 | $197.04 | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | AvMed | HIX | $17.90 | $198.88 | $198.88 | 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 ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| ENCINO HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $316.20 | $277.00 | 2024-12-19 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $316.20 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY 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 ↗ |
| LA PALMA INTERCOMMUNITY 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 ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Keenan | Keenan | $18.97 | $63.24 | $277.00 | 2024-12-19 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Both | HNE [11108] | All HEALTH NEW ENGLAND HR [294] Plans | $19.52 | $30.00 | $30.00 | 2026-04-03 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | AETNA [11101] | All AETNA UM [92] Plans | $19.56 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | AETNA [11101] | All AETNA HA [147] Plans | $19.62 | $30.00 | $30.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | AETNA [11101] | All AETNA MH [29] Plans | $19.92 | $30.00 | $30.00 | 2025-12-08 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,138.00 | $739.70 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,138.00 | $739.70 | 2025-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $20.88 | $1,294.00 | $776.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $20.88 | $1,294.00 | $776.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $20.88 | $1,283.00 | $769.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $20.88 | $1,294.00 | $776.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $20.88 | $1,283.00 | $769.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $20.88 | $1,283.00 | $769.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $20.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $20.88 | — | — | 2026-01-01 | 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.