88304 — Pr Lvl 3 Surg Path Gross Micro
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR LVL 3 SURG PATH GROSS MICRO (CPT 88304) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88304?code_type=CPT
MLA (9th ed.)
“PR LVL 3 SURG PATH GROSS MICRO (CPT 88304) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88304?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR LVL 3 SURG PATH GROSS MICRO (CPT 88304) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88304?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$208 (25th–75th percentile) across 3,061 hospitals · 10,808 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88304 — 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 the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$54
$100 typical
$208
The middle 50% of negotiated facility rates for this procedure, measured across 3,061 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $100 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $41 × 1.22 commercial. | $50 |
| Likely subtotal | $150 |
Surgical episode (typical)
~$150
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$3,935
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 | — | — | $480.63 | $240.32 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $480.63 | $240.32 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.14 | $235.00 | $176.25 | 2026-03-26 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Kaiser | Managed Care | $0.30 | $1.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Health Net | Managed Care | $0.31 | $1.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Cigna | Managed Care | $0.36 | $1.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Primecare | Managed Care | $0.40 | $1.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Sharp Health Plan | Managed Care | $0.45 | $1.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Exclusive Care | Managed Care | $0.45 | $1.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Palomar | Managed Care | $0.47 | $1.00 | — | 2026-05-08 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.50 | $495.21 | $148.56 | 2026-04-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $0.61 | $256.00 | $204.80 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $0.61 | $256.00 | $204.80 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $0.64 | $256.00 | $204.80 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $0.72 | $256.00 | $204.80 | 2026-03-26 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.82 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.86 | — | — | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Multiplan | Managed Care | $0.90 | $1.00 | — | 2026-05-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.93 | $476.60 | $476.60 | 2026-03-18 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.94 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $868.53 | $564.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $868.53 | $564.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.01 | $272.90 | $259.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.01 | $272.90 | $259.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.01 | $272.90 | $259.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.04 | $272.90 | $259.25 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.04 | $45.00 | $33.75 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.06 | $272.90 | $259.25 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.07 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.07 | $476.60 | $476.60 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.07 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.09 | $272.90 | $259.25 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.14 | $112.00 | $72.80 | 2026-03-14 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $1.15 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.16 | $476.60 | $476.60 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.17 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.17 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $1.21 | — | — | 2026-05-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.28 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.28 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.29 | $163.00 | $60.31 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.31 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.31 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.31 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | — | $19,173.79 | $2,453.86 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.31 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.33 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.36 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.38 | $268.10 | $160.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.38 | $268.10 | $160.86 | 2025-08-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.39 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $1.44 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.44 | $267.00 | $253.65 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $1.44 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | PFFS | $1.56 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $1.56 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Freedom Health Care | MGMGR | $1.56 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $1.56 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | HIX | $1.60 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | OMC AETNA | — | $20,649.93 | $4,329.50 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $270.00 | $221.40 | 2025-11-26 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | MEDICRUZ | MEDICRUZ CLASSIC | $1.98 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | VICTIM COMPENSATION PLAN | VICTIM COMPENSATION PLAN | $1.98 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $2.01 | $98.00 | $49.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $2.01 | $98.00 | $49.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $2.01 | $98.00 | $49.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $2.01 | $98.00 | $49.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $2.01 | $98.00 | $49.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $2.01 | $98.00 | $49.00 | 2024-12-10 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $2.09 | $240.00 | $120.00 | 2025-12-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.12 | $204.00 | $204.00 | 2026-04-24 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.16 | $339.00 | $135.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.16 | $308.00 | $123.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.16 | $339.00 | $135.60 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.16 | $308.00 | $123.20 | 2026-05-13 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $2.17 | $27.87 | $27.87 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $2.17 | $27.87 | $27.87 | 2024-10-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNITED HEALTHCARE [5033] | UNITED NON-TERTIARY | — | $48,034.06 | $784.90 | 2026-04-01 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET PMG HMO | HEALTH NET DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA HMO | CIGNA DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GREAT-WEST/PHCS | GREAT-WEST DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | BLUE CROSS CALIFORNIA PMG | BLUE CROSS DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA DIGNITY | AETNA DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | SECURE HORIZONS DIGN HMO | AARP DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | BLUE SHIELD HMO | BLUE SHIELD DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE DIGNITY | UNITED HEALTHCARE DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PACIFICARE HMO | PACIFICARE DIG HMO | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $2.21 | $30.66 | $30.66 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $2.21 | $30.66 | $30.66 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $209.00 | — | 2025-06-28 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.32 | $206.00 | $206.00 | 2026-02-13 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $2.33 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $2.33 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $2.33 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL, THE Outpatient | Humana | Medicare | — | $264.16 | $171.70 | 2026-05-09 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $2.45 | $30.66 | $30.66 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $2.46 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $2.51 | $27.87 | $27.87 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $2.60 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Kaiser | Managed Care | $2.67 | $9.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Health Net | Managed Care | $2.80 | $9.00 | — | 2026-05-08 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Simply Healthcare | HIX | $2.94 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $2.94 | — | — | 2026-05-06 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Health Net | HMO/PPO | — | $16.31 | $16.31 | 2026-02-04 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Oscar | HIX | $3.00 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.03 | $476.60 | $476.60 | 2026-03-18 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | $3.03 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $3.08 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Simply Healthcare | MGMCR | $3.08 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $3.11 | — | — | 2025-12-31 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $3.23 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $3.23 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $3.23 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Cigna | Managed Care | $3.23 | $9.00 | — | 2026-05-08 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | $3.23 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | United | OptionsPPO | $3.28 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | $3.46 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Truli for Health | COMMHMO | $3.51 | $27.87 | $27.87 | 2024-10-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Primecare | Managed Care | $3.59 | $9.00 | — | 2026-05-08 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $3.75 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $363.00 | $72.60 | 2026-02-11 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Molina | MGMCR | $3.80 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $3.85 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Oscar | HIX | $3.90 | $27.87 | $27.87 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $3.93 | — | — | 2024-10-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | COMM | — | $306.00 | $306.00 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $3.93 | $306.00 | $306.00 | 2024-10-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $3.93 | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $3.93 | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $3.93 | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $57.00 | $39.90 | 2026-04-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Kaiser | Managed Care | — | $168.00 | $84.00 | 2025-12-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Exclusive Care | Managed Care | $4.05 | $9.00 | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Sharp Health Plan | Managed Care | $4.05 | $9.00 | — | 2026-05-08 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $4.13 | $7.70 | $7.70 | 2026-03-01 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | MARTINS POINT/US FAMILY [10304] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | MARTINS POINT/US FAMILY [10304] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.22 | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.22 | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $87.54 | $87.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $87.54 | $87.54 | 2024-12-30 | 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.