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 $74–$198 (25th–75th percentile) across 111 hospitals · 187 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
$74
$148 typical
$198
The middle 50% of negotiated facility rates for this procedure, measured across 111 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $148 |
| Likely subtotal | $148 |
Facility charge (no separate professional fee)
$148
- 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 ↗ |
| 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 ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL 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 ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL 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 ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $4.55 | — | — | 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 ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $4.55 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL 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 ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Other Commercial Plan | $4.66 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $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 ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $7.50 | — | — | 2026-04-01 | 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 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 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 WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $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 WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $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 ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $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 ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | 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 ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | 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 ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $12.29 | — | — | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $17.88 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| MADISON MEDICAL CENTER Outpatient | MEDICARE ADV | MEDICARE ADVANTAGE | $19.14 | $66.00 | $66.00 | 2025-01-05 | MRF ↗ |
| MADISON MEDICAL CENTER Outpatient | MEDICARE | MEDICARE | $19.14 | $66.00 | $66.00 | 2025-01-05 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $19.36 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $19.36 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Essential Other Commercial Plan | $20.84 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $20.84 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL 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 ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $20.84 | — | — | 2026-04-14 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $21.96 | — | — | 2026-01-25 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Small Group Network - Tmsh | $23.40 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Individual Network - Tmsh | $23.40 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Ppo/Epo - Tmsh | $23.40 | — | — | 2026-04-01 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $23.91 | $53.13 | $26.57 | 2026-05-09 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $24.75 | $99.00 | — | 2026-01-01 | 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 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 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 | 2026-01-28 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $27.84 | $69.60 | $48.72 | 2026-03-06 | 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 ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $27.84 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $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 | Tricare Va | 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 | 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 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 ↗ |
| 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 | 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 ↗ |
| 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 | 2026-01-28 | 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 ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $36.00 | $150.00 | $150.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $36.00 | $150.00 | $150.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $36.00 | $150.00 | $150.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $36.00 | $150.00 | $150.00 | 2025-07-03 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $36.47 | $165.75 | $132.60 | 2025-01-28 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE PREMIER | MIDLANDS CHOICE PREMIER | $36.85 | $52.64 | $52.64 | 2026-05-04 | 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 ↗ |
| MORRILL COUNTY COMMUNITY HOSPITAL Outpatient | Department of Health and Human Services | Medicaid Membership | $37.00 | $84.00 | $79.00 | 2025-07-24 | 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 | Auto/Workers Compensation | $37.13 | $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 ↗ |
| 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 ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $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 ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Commercial | $39.60 | $99.00 | — | 2026-01-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Humana | Commercial | $40.00 | $675.00 | $675.00 | 2025-10-20 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL 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 ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER 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 ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $41.76 | $69.60 | $48.72 | 2026-03-06 | MRF ↗ |
| MORRILL COUNTY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $42.00 | $84.00 | $79.00 | 2025-07-24 | MRF ↗ |
| MORRILL COUNTY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $42.00 | $84.00 | $79.00 | 2025-07-24 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $43.04 | $53.13 | $26.57 | 2026-05-09 | 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 ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $49.00 | $150.00 | $150.00 | 2025-07-03 | 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 ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $51.10 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $51.10 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $53.00 | $220.00 | $220.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $53.00 | $220.00 | $220.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $53.00 | $220.00 | $220.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $53.00 | $220.00 | $220.00 | 2025-07-03 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $55.48 | $277.42 | $221.94 | 2025-01-28 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | WORKERS COMP | $56.36 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| SCK HEALTH Outpatient | AETNA COMM OP ONLY - ALL OTHER PLANS | AETNA COMM OP ONLY - ALL OTHER PLANS | $56.45 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PERSONAL INJURY | $57.52 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | BEHAVIORAL HEALTH MEDICAID | $58.58 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | BEHAVIORAL HEALTH | $58.95 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| SCK HEALTH Outpatient | UHC ALL PAYER OP ONLY - ALL OTHER PLANS | UHC ALL PAYER OP ONLY - ALL OTHER PLANS | $59.27 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID_YOUTH-YOUNG ADULT | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID ADV_YOUTH-YOUNG ADULT | $59.76 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| SCK HEALTH Outpatient | FIRST HEALTH WC OP ONLY - ALL PLANS | FIRST HEALTH WC OP ONLY - ALL PLANS | $59.98 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | BCBS BLUE CHOICE OP ONLY | BCBS BLUE CHOICE OP ONLY | $59.98 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $61.03 | $277.42 | $221.94 | 2025-01-28 | MRF ↗ |
| SCK HEALTH Outpatient | BCBS CAP OP ONLY - ALL OTHER PLANS | BCBS CAP OP ONLY - ALL OTHER PLANS | $63.50 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | United Healthcare | Medicare Advantage | $64.52 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Medicare A ME JK | Default | $64.52 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | EPIC HEALTH PLAN - ALL OTHER PLANS | EPIC HEALTH PLAN - ALL OTHER PLANS | $64.64 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $65.17 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Humana | Medicare Advantage | $65.17 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FRESENIUS | MEDICARE ADVANTAGE | $65.70 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | $65.84 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $65.84 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Blue Cross Blue Shield of ME Anthem | Medicare Advantage | $66.46 | $140.08 | $112.06 | 2026-04-24 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | UHC SELECT | UHC SELECT | $67.00 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL OutpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCAID OP ONLY | UHC MCAID OP ONLY | $70.56 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AETNA MCR ADV OP ONLY | AETNA MCR ADV OP ONLY | $70.56 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $71.00 | $220.00 | $220.00 | 2025-07-03 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Aetna | Commercial | $71.00 | $374.00 | $374.00 | 2025-10-01 | MRF ↗ |
| SCK HEALTH Outpatient | SUNFLOWER MCAID OP ONLY - ALL PLANS | SUNFLOWER MCAID OP ONLY - ALL PLANS | $72.68 | $70.56 | $70.56 | 2026-05-04 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $72.76 | $214.00 | $128.40 | 2025-11-18 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Wellcare | Medicare Advantage | $72.93 | $165.75 | $132.60 | 2025-01-28 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $73.00 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $73.00 | $146.00 | $50.37 | 2025-12-29 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $74.00 | $74.00 | $18.00 | 2026-01-28 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $74.00 | $215.45 | $68.00 | 2026-04-02 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $74.00 | $74.00 | $18.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $74.00 | $74.00 | $18.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $74.00 | $74.00 | $18.00 | 2026-01-28 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Old Order Amish Church Group - Dean Creek | Amish Church Groups | $74.25 | $99.00 | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Old Order Amish Church Group - Moore | Amish Church Groups | $74.25 | $99.00 | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Old Order Amish Church Group - Roundup | Amish Church Groups | $74.25 | $99.00 | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Old Order Amish Church Group - Dean Creek | Amish Church Groups | $74.25 | $99.00 | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Old Order Amish Church Group - Moore | Amish Church Groups | $74.25 | $99.00 | — | 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.