88180 — Cell Marker Study Unscheduled
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CELL MARKER STUDY UNSCHEDULED (CPT 88180) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88180?code_type=CPT
MLA (9th ed.)
“CELL MARKER STUDY UNSCHEDULED (CPT 88180) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88180?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CELL MARKER STUDY UNSCHEDULED (CPT 88180) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88180?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $58–$166 (25th–75th percentile) across 128 hospitals · 169 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88180 — 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
$58
$136 typical
$166
The middle 50% of negotiated facility rates for this procedure, measured across 128 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $136 |
| Likely subtotal | $136 |
Facility charge (no separate professional fee)
$136
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 $58–$166.
- 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 |
|---|---|---|---|---|---|---|---|
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.47 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $3.47 | $144.09 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $3.82 | $144.09 | — | 2026-08-17 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $3.94 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $3.96 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $3.96 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $3.97 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $4.42 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $4.52 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $4.55 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $4.55 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $4.66 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Other Commercial Plan | $4.66 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $4.67 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $4.67 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $6.75 | $280.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $7.42 | $280.00 | — | 2026-08-17 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $7.50 | — | — | 2026-04-01 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER InpatientFacility | — | — | — | $75.90 | $13.66 | 2026-03-17 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $8.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $8.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $8.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $8.90 | — | — | 2026-04-14 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $10.00 | — | — | 2025-08-06 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | 1199 SEIU | Commercial | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $10.00 | — | — | 2026-09-05 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $11.57 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $11.57 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $11.57 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $11.57 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Bcbs Out Of State Hmo [1030105] | — | $12.24 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $12.29 | — | — | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Bcbs Ma Ppo/Epo [1030104] | — | $12.33 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Bcbs Ma Ind [1030103] | — | $12.33 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Bcbs Out Of State Ppo [1030107] | — | $12.33 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Bcbs Out Of State Ind [1030106] | — | $12.33 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $12.45 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $14.65 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $14.65 | — | — | 2026-04-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | Group Health | COMM | $15.00 | — | — | 2024-10-01 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BRIGHTHEALTH-ALL PLANS | BRIGHTHEALTH-ALL PLANS | $15.79 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $16.27 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $16.46 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $16.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $16.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $16.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $16.51 | — | — | 2026-04-14 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Bcbs Out Of State Ppo [1030107] | — | $16.89 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Bcbs Out Of State Ind [1030106] | — | $16.89 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Bcbs Ma Ind [1030103] | — | $16.89 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Bcbs Ma Ppo/Epo [1030104] | — | $16.89 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Bcbs Out Of State Hmo [1030105] | — | $17.53 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $17.88 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $18.73 | $144.09 | — | 2026-09-02 | MRF ↗ |
| MADISON MEDICAL CENTER Outpatient | MEDICARE | MEDICARE | $19.14 | $66.00 | $66.00 | 2025-01-05 | MRF ↗ |
| MADISON MEDICAL CENTER Outpatient | MEDICARE ADV | MEDICARE ADVANTAGE | $19.14 | $66.00 | $66.00 | 2025-01-05 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $19.36 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $19.36 | — | — | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Aetna Ppo [1110103] | — | $20.76 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Aetna Hmo [1110101] | — | $20.76 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Aetna Signature [1110105] | — | $20.76 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Aetna Ind [1110102] | — | $20.76 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $20.84 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $20.84 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $20.84 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $21.61 | $144.09 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $21.61 | $144.09 | — | 2026-08-17 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $21.96 | — | — | 2026-01-25 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | First Health | Coventry Carelink | $22.08 | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | First Health | Coventry Carelink | $22.08 | — | — | 2026-07-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Coventry First Health Ntwk [1112001] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | First Health Network [1110701] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Coventry First Health Ntwk [1112001] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | Multiplan [1110904] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | First Health Network [1110701] | — | $22.50 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Multiplan [1110904] | — | $22.50 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | First Health Ntwk [1112002] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | First Health Ntwk [1112002] | — | $22.50 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | Coventry First Health Ntwk [1112001] | — | $22.50 | $30.00 | $24.00 | 2026-10-12 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | First Health Network [1110701] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | First Health Ntwk [1112002] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Multiplan [1110904] | — | $22.50 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $23.40 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $23.40 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $23.40 | — | — | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Bcbs Out Of State Hmo [1030105] | — | $23.42 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $23.91 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Bcbs Out Of State Ind [1030106] | — | $24.27 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Bcbs Out Of State Ppo [1030107] | — | $24.27 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Bcbs Ma Ppo/Epo [1030104] | — | $24.27 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Bcbs Ma Ind [1030103] | — | $24.27 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $24.75 | $99.00 | — | 2026-01-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $25.08 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $25.08 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $25.08 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $25.08 | — | — | 2026-04-14 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $26.00 | $74.00 | $18.00 | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Cigna Carelink [1120201] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Cigna Carelink Ppo [1120203] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Carelink [1120101] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Limited Network [1120104] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Carelink Hmo [1120107] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Carelink Ppo [1120108] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Hmo/Pos [1120103] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Ppo [1120105] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Cigna Carelink Hmo [1120202] | — | $27.75 | $30.00 | $24.00 | 2026-05-28 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $27.84 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $27.84 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $28.69 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $28.69 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $28.69 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $28.69 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $28.69 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $29.22 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $29.26 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $29.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $29.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $29.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $29.74 | — | — | 2026-04-14 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | Kaiser Foundation - Mid-Atlantic States | MD Medicaid | $29.80 | $78.42 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint Hospital Capitol Hill Inpatient | Kaiser Foundation - Mid-Atlantic States | MD Medicaid | $29.80 | $78.42 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | Kaiser Foundation - Mid-Atlantic States | MD Medicaid | $29.80 | $78.42 | — | 2026-03-16 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $29.93 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $31.32 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE MEDICA ELEVATE | MIDLANDS CHOICE MEDICA ELEVATE | $31.59 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BCBS OF NE SELECT BLUE-ALL OTHER PLANS | BCBS OF NE SELECT BLUE-ALL OTHER PLANS | $32.51 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| Bridgepoint Hospital Capitol Hill Inpatient | United Healthcare Managed Medicaid | MD Medicaid | $32.94 | $78.42 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | United Healthcare Managed Medicaid | MD Medicaid | $32.94 | $78.42 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | United Healthcare Managed Medicaid | MD Medicaid | $32.94 | $78.42 | — | 2026-03-16 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $33.15 | $165.75 | $132.60 | 2025-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $34.00 | $74.00 | $18.00 | 2026-04-01 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BCBS OF NE NETWORK BLUE | BCBS OF NE NETWORK BLUE | $34.22 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE MEDICA INSURED | MIDLANDS CHOICE MEDICA INSURED | $34.22 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| Bridgepoint Hospital Capitol Hill | Dc Medicaid | — | $36.23 | $78.42 | — | 2026-07-31 | MRF ↗ |
| Bridgepoint -national Harbor | Dc Medicaid | — | $36.23 | $78.42 | — | 2026-07-30 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $36.40 | $280.00 | — | 2026-09-02 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $36.47 | $165.75 | $132.60 | 2025-01-28 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $36.74 | $144.09 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $36.74 | $144.09 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $36.74 | $144.09 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $36.74 | $144.09 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $36.74 | $144.09 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $36.74 | $144.09 | — | 2026-08-17 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | FIRST CHOICE HLTH NTWRK-ALL PLANS | FIRST CHOICE HLTH NTWRK-ALL PLANS | $36.85 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE PREMIER | MIDLANDS CHOICE PREMIER | $36.85 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| MORRILL COUNTY COMMUNITY HOSPITAL Outpatient | Department of Health and Human Services | Medicaid Membership | $37.00 | $84.00 | $79.00 | 2025-07-24 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $37.13 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $38.28 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Commercial | $38.28 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HEALTHNET AMBETTER PPO | HEALTHNET AMBETTER PPO | $39.21 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE STANDARD-ALL OTHER PLANS | MIDLANDS CHOICE STANDARD-ALL OTHER PLANS | $39.48 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Commercial | $39.60 | $99.00 | — | 2026-01-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Humana | Commercial | $40.00 | $675.00 | $675.00 | 2025-10-20 | MRF ↗ |
| DOCTOR'S CENTER DE SAN JUAN Outpatient | Humana | Commercial | $40.00 | $675.00 | $675.00 | 2025-10-20 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $40.13 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $40.13 | — | — | 2025-06-28 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | AETNA/COVENTRY-ALL PLANS | AETNA/COVENTRY-ALL PLANS | $40.53 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $41.76 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $42.00 | $280.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $42.00 | $280.00 | — | 2026-08-17 | MRF ↗ |
| MORRILL COUNTY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $42.00 | $84.00 | $79.00 | 2025-07-24 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna Plan | Commercial | $42.50 | $85.00 | $59.50 | 2026-10-22 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $43.04 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $43.23 | $144.09 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $43.23 | $144.09 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $43.23 | $144.09 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $43.23 | $144.09 | — | 2026-08-17 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | HUMANA (CHOICECARE NETWORK)-ALL PLANS | HUMANA (CHOICECARE NETWORK)-ALL PLANS | $44.75 | $52.64 | $52.64 | 2026-05-04 | MRF ↗ |
| MADISON MEDICAL CENTER Outpatient | BCBS | BLUE ACCESS OR EXCHANGE | $45.54 | $66.00 | $66.00 | 2025-01-05 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $47.82 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Cigna | PPO/POS | $48.46 | — | — | 2026-04-01 | MRF ↗ |
| MADISON MEDICAL CENTER Outpatient | BCBS | TRAD | $49.10 | $66.00 | $66.00 | 2025-01-05 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | $49.73 | $165.75 | $132.60 | 2025-01-28 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Wellpath First Choice | Medicare Advantage | $50.88 | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Wellpath First Choice | Medicare Advantage | $50.88 | — | — | 2026-10-03 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Healthscope Plan | Medicare | $51.00 | $85.00 | $59.50 | 2026-10-22 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $51.10 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $51.10 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | 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.