88305 — Tissue Exam By Pathologist
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TISSUE EXAM BY PATHOLOGIST (CPT 88305) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88305?code_type=CPT
MLA (9th ed.)
“TISSUE EXAM BY PATHOLOGIST (CPT 88305) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88305?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TISSUE EXAM BY PATHOLOGIST (CPT 88305) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88305?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $60–$277 (25th–75th percentile) across 3,143 hospitals · 10,969 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88305 — 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
$60
$124 typical
$277
The middle 50% of negotiated facility rates for this procedure, measured across 3,143 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. | $124 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $70 × 1.22 commercial. | $86 |
| Likely subtotal | $210 |
Surgical episode (typical)
~$210
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)
~$3,994
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 | — | — | $707.66 | $353.83 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $707.66 | $353.83 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.14 | $277.00 | $207.75 | 2026-03-26 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.16 | $156.00 | $46.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.16 | $156.00 | $46.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.20 | $202.80 | $60.84 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.20 | $202.80 | $60.84 | 2026-04-01 | 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 ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.32 | $318.00 | $95.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.32 | $318.00 | $95.40 | 2026-04-01 | 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 ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.41 | $413.40 | $124.02 | 2026-04-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Exclusive Care | Managed Care | $0.45 | $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 | Palomar | Managed Care | $0.47 | $1.00 | — | 2026-05-08 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.66 | $658.35 | $197.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.69 | $693.00 | $207.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.69 | $693.00 | $207.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.75 | $745.75 | $223.72 | 2026-04-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Multiplan | Managed Care | $0.90 | $1.00 | — | 2026-05-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.92 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.93 | $41.30 | $41.30 | 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 ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.97 | — | — | 2026-05-06 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $385.00 | $315.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $385.00 | $315.70 | 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 Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $385.00 | $315.70 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $868.53 | $564.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $51.63 | $42.34 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.01 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.01 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.01 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.04 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.06 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.07 | $522.65 | $522.65 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.07 | $520.35 | $520.35 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.07 | $41.30 | $41.30 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.09 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.16 | $41.30 | $41.30 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.17 | $522.65 | $522.65 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.17 | $520.35 | $520.35 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.31 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.31 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.34 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.34 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.34 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.34 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.36 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.38 | $61.00 | $45.75 | 2025-03-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.39 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $1.41 | $346.00 | $276.80 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $1.41 | $346.00 | $276.80 | 2026-03-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.42 | $273.00 | $259.35 | 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 ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $1.44 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.47 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $1.50 | $346.00 | $276.80 | 2026-03-26 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARPLUS | $1.55 | $22.17 | $22.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | CHIP | $1.55 | $22.17 | $22.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARHealth | $1.55 | $22.17 | $22.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARKids | $1.55 | $22.17 | $22.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | MCDSTAR | $1.55 | $22.17 | $22.17 | 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 | Optimum Healthcare | MCRPPO | $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 | PFFS | $1.56 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.57 | $296.00 | $177.60 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.57 | $296.00 | $177.60 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | HIX | $1.60 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $1.68 | $346.00 | $276.80 | 2026-03-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.92 | $184.80 | $184.80 | 2026-04-24 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $1.97 | — | — | 2026-05-06 | 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 ↗ |
| DORMINY MEDICAL CENTER Inpatient | HealthSmart | All Commercial Plans | $2.06 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.07 | — | — | 2026-05-06 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.17 | $176.00 | $65.12 | 2026-03-31 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Aetna Commercial | PPO/HMO | $2.20 | $2.75 | $1.38 | 2026-02-11 | 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 SHIELD HMO | BLUE SHIELD 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 | HEALTH NET PMG HMO | HEALTH NET 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 ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE DIGNITY | UNITED HEALTHCARE 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 | CIGNA HMO | CIGNA 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.21 | $598.00 | $568.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.21 | $598.00 | $568.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.21 | $598.00 | $568.10 | 2026-02-20 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $30.00 | — | 2025-06-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.27 | $598.00 | $568.10 | 2026-02-20 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | MANAGED HEALTH SERVICES INS CORP - Medicaid | Medicaid Managed Care | $2.31 | $70.80 | $39.65 | 2026-03-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.33 | $598.00 | $568.10 | 2026-02-20 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Provider Network of America | All Commercial Plans | $2.34 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | United HealthCare Commercial | PPO/HMO | $2.39 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Principal Edge Network | All Commercial Plans | $2.39 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.39 | $598.00 | $568.10 | 2026-02-20 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Cigna Commercial | PPO/HMO | $2.42 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Humana ChoiceCare | All Commercial Plans | $2.42 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | VCHCP-ALL PLANS | VCHCP-ALL PLANS | $2.47 | $13.00 | $6.50 | 2026-03-23 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Novanet | All Commercial Plans | $2.48 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | MultiPlan | PPO/HMO | $2.48 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | PHCS | All Commercial Plans | $2.48 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Unicare | All Commercial Plans | $2.48 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Inpatient | Three Rivers Provider Network | All Commercial Plans | $2.61 | $2.75 | $1.38 | 2026-02-11 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Mediblue Greater Dayton | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Of Michigan Medicare Plus | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Secondary | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Tertiary | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Blue Advantage Administrators Of Arkansas | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare Preferred | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Anthem Medicare 105187 | Anthem Medicare 105187 | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem Medicare Supplement | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare | $2.62 | $304.00 | $182.40 | 2026-05-08 | MRF ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Keenan | Keenan | $2.66 | $224.00 | $88.00 | 2024-12-19 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Kaiser | Managed Care | $2.67 | $9.00 | — | 2026-05-08 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Keenan | Keenan | $2.70 | $162.00 | $88.00 | 2024-12-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.73 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.73 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.78 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.78 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.78 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.78 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Health Net | Managed Care | $2.80 | $9.00 | — | 2026-05-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.84 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.90 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Aetna Commercial | PPO/HMO | — | $82.00 | $61.50 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Simply Healthcare | HIX | $2.94 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.95 | $283.50 | $283.50 | 2026-04-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.95 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | IFP | $2.99 | $22.17 | $22.17 | 2026-03-01 | 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 | $203.20 | $203.20 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.07 | $568.00 | $539.60 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Simply Healthcare | MGMCR | $3.08 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.10 | $297.70 | $297.70 | 2026-04-24 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | QHP | $3.10 | $22.17 | $22.17 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $3.20 | $40.00 | — | 2025-11-10 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $3.23 | $317.00 | $206.05 | 2026-03-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Cigna | Managed Care | $3.23 | $9.00 | — | 2026-05-08 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | — | $4,878.69 | $3,171.15 | 2026-03-12 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | United | OptionsPPO | $3.28 | $20.00 | $20.00 | 2026-03-01 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | — | $4,878.69 | $3,171.15 | 2026-03-12 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Inpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | HMO | — | $60.00 | $39.00 | 2025-11-26 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $3.37 | $109.00 | $54.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $3.37 | $109.00 | $54.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $3.37 | $109.00 | $54.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $3.37 | $109.00 | $54.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $3.37 | $109.00 | $54.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $3.37 | $109.00 | $54.50 | 2024-12-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.38 | $52.00 | $33.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.38 | $52.00 | $33.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.38 | $52.00 | $33.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3.38 | $52.00 | $33.80 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $3.40 | $17.00 | $5.10 | 2026-01-25 | 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.