88307 — Pr Lvl 5 Surg Path Gross Micro
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR LVL 5 SURG PATH GROSS MICRO (CPT 88307) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88307?code_type=CPT
MLA (9th ed.)
“PR LVL 5 SURG PATH GROSS MICRO (CPT 88307) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88307?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR LVL 5 SURG PATH GROSS MICRO (CPT 88307) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88307?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $263–$639 (25th–75th percentile) across 2,986 hospitals · 10,544 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88307 — 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
$263
$401 typical
$639
The middle 50% of negotiated facility rates for this procedure, measured across 2,986 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $401 |
| Likely subtotal | $401 |
Facility charge (no separate professional fee)
$401
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $982.09 | $491.04 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $982.09 | $491.04 | 2024-12-15 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $919.00 | $91.90 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $919.00 | $91.90 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $919.00 | $91.90 | 2026-05-14 | 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 ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.35 | $545.40 | $409.05 | 2026-03-26 | 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 | 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 HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.78 | $777.40 | $233.22 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.78 | $777.40 | $233.22 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.78 | $777.40 | $233.22 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.78 | $777.40 | $233.22 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.78 | $777.40 | $233.22 | 2026-04-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $0.82 | $721.00 | $576.80 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $0.82 | $721.00 | $576.80 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $0.87 | $721.00 | $576.80 | 2026-03-26 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Multiplan | Managed Care | $0.90 | $1.00 | — | 2026-05-08 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $0.98 | $721.00 | $576.80 | 2026-03-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,281.00 | $832.65 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $1,100.00 | — | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $1,100.00 | $355.85 | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,281.00 | $832.65 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $924.00 | $757.68 | 2025-11-26 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $1,100.00 | $388.85 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $1,100.00 | $355.85 | 2024-12-31 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $1.46 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.46 | $252.55 | $252.55 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.47 | $1,368.09 | $1,368.09 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.47 | $843.90 | $843.90 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.68 | $1,368.09 | $1,368.09 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.68 | $843.90 | $843.90 | 2026-03-18 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | MEDICRUZ | MEDICRUZ CLASSIC | $1.98 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.98 | $1,100.00 | $355.85 | 2024-12-31 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | VICTIM COMPENSATION PLAN | VICTIM COMPENSATION PLAN | $1.98 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $2.03 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $2.03 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $2.03 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $2.03 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $2.03 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $2.03 | — | — | 2026-04-01 | 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 | PACIFICARE HMO | PACIFICARE DIG HMO | $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 | SECURE HORIZONS DIGN HMO | AARP 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 | GREAT-WEST/PHCS | GREAT-WEST 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 | HEALTH NET PMG HMO | HEALTH NET DIGNITY | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $2.23 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $2.23 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $706.00 | — | 2025-06-28 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem Medicare Supplement | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Mediblue Greater Dayton | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Secondary | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Tertiary | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Blue Advantage Administrators Of Arkansas | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Of Michigan Medicare Plus | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Anthem Medicare 105187 | Anthem Medicare 105187 | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare Preferred | $2.26 | $1,249.00 | $749.40 | 2026-05-08 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $453.96 | $295.07 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $2.42 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Freedom Health Care | MGMGR | $2.42 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | PFFS | $2.42 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $2.42 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | HIX | $2.48 | $31.00 | $31.00 | 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 ↗ |
| TEMECULA VALLEY HOSPITAL Both | Cigna | Managed Care | $3.23 | $9.00 | — | 2026-05-08 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | OMC AETNA | — | $29,719.13 | $5,109.67 | 2026-04-01 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Primecare | Managed Care | $3.59 | $9.00 | — | 2026-05-08 | 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 ↗ |
| TEMECULA VALLEY HOSPITAL Both | Palomar | Managed Care | $4.23 | $9.00 | — | 2026-05-08 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | WESTERN GROWERS TRUST/BC | WESTERN GROWERS CEDAR HP | $4.40 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PINNACLE CLAIMS TPA/BC | PINNACLE CLAIMS TPA/BC | $4.40 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PINNACLE CLAIMS TPA/BC | PINNACLE CLAIMS MGT BC | $4.40 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Simply Healthcare | HIX | $4.56 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Oscar | HIX | $4.65 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Simply Healthcare | MGMCR | $4.77 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $975.00 | $536.25 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | United | OptionsPPO | $5.08 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $5.23 | $437.00 | $174.80 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $5.23 | $397.00 | $158.80 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $5.23 | $437.00 | $174.80 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $5.23 | $397.00 | $158.80 | 2026-05-13 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | $5.32 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | $5.32 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $5.32 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | $5.32 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | $5.32 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $5.33 | $512.70 | $512.70 | 2026-04-24 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $5.39 | — | — | 2026-05-06 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PINNACLE CLAIMS TPA/BC | PINNACLE CLAIMS TPA/BC | $5.50 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PINNACLE CLAIMS TPA/BC | PINNACLE CLAIMS MGT BC | $5.50 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | WESTERN GROWERS TRUST/BC | WESTERN GROWERS CEDAR HP | $5.50 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | WESTERN HEALTH ADVANTAGE | WESTERN HEALTH ADVANTAGE | $5.50 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Triwest | All Plans | $5.60 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $5.66 | — | — | 2026-05-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC CORE NEW 100121 | — | $23,484.00 | $15,264.60 | 2026-03-12 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $5.85 | $13.00 | $13.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $5.85 | $13.00 | $13.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $5.85 | $13.00 | $13.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $5.85 | $13.00 | $13.00 | 2026-03-27 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | $5.85 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | $5.85 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | HMO | $5.85 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | $5.85 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $5.85 | $13.00 | $13.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $5.85 | $13.00 | $13.00 | 2026-03-27 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | $5.85 | $13.30 | $6.65 | 2026-03-17 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Molina | MGMCR | $5.89 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA SELECT CHOICE | AETNA SELECT CHOICE | $6.07 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA PPO EPO | AETNA | $6.07 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA SENIOR CHOICE | AETNA SENIOR CHOICE | $6.07 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA PPO EPO | AETNA MERITAIN EMPLOYEE | $6.07 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA HMO-NOT PMG | AETNA HMO | $6.07 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA HMO-NOT PMG | AETNA HMO | $6.58 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA PPO EPO | AETNA MERITAIN EMPLOYEE | $6.58 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA SENIOR CHOICE | AETNA SENIOR CHOICE | $6.58 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA SELECT CHOICE | AETNA SELECT CHOICE | $6.58 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | AETNA PPO EPO | AETNA | $6.58 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | SELF PAY | SELF PAY | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UHC CANOPY | UHC SIGNATURE VAL HARM | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UMR/SUTTER SELECT | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITEDHEALTHCARE DOCTORS | UHC DOCTORS CANOPY | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA PPO | LOYAL AMER LIFE/MCRE SUPP | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA PPO | CIGNA PPO | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UHC CANOPY | UHC SIGNATURE VAL ADV | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UHC CANOPY | UHC SIG VAL HARM CALPERS | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PACIFICARE HMO | PACIFICARE SCMC | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | PACIFICARE PPO | PACIFICARE | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET SMARTCARE NETW | HEALTH NET SMARTCARE NETW | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GREAT-WEST/PHCS | GREAT-WEST | $6.60 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $6.61 | $84.69 | $84.69 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $6.61 | $84.69 | $84.69 | 2024-10-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.62 | $1,790.00 | $1,700.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.62 | $1,790.00 | $1,700.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $6.62 | $1,790.00 | $1,700.50 | 2026-02-20 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $453.96 | $295.07 | 2025-11-26 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $6.71 | $93.16 | $93.16 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $6.71 | $93.16 | $93.16 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.80 | $1,790.00 | $1,700.50 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | HMOFI | $6.82 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET OF CALIFORNIA | HEALTH NET OF CALIFORNIA | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET CANOPYCARE HMO | HEALTH NET SMARTCARE HMO | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET CANOPYCARE HMO | HEALTH NET CANOPYCARE | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET CANOPYCARE HMO | HEALTH NET BLUE&GOLD HMO | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET PMG HMO | HEALTH NET SCMC | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET CANOPYCARE HMO | HEALTH NET SFHSS | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | HEALTH NET BLUE AND GOLD | HEALTH NET BLUE AND GOLD | $6.89 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $6.94 | $220.00 | $165.00 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.98 | $1,790.00 | $1,700.50 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $7.11 | $697.00 | $453.05 | 2026-03-14 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Evolutions Healthcare Systems | PrimeTier1 | $7.13 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $7.16 | $1,790.00 | $1,700.50 | 2026-02-20 | MRF ↗ |
| MACKINAC STRAITS HOSPITAL AND HEALTH CENTER | BLUE CROSS BLUE SHIELD | — | — | $56.48 | $33.89 | 2025-06-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $7.45 | $93.16 | $93.16 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $7.62 | $84.69 | $84.69 | 2024-10-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $7.66 | — | — | 2026-05-06 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | TRANSWESTERN | TRANSWESTERN | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA PPO | LOYAL AMER LIFE/MCRE SUPP | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GEHA (CCN) | GEHA (AFFORDABLE) | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GEHA (CCN) | GEHA (CCN) | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | GREAT-WEST/PHCS | GREAT-WEST | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | CIGNA PPO | CIGNA PPO | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | ADVENTIST RISK MANAGEMENT | ADVENTIST RISK MANAGEMENT | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | FIRST HEALTH | FIRST HEALTH | $7.70 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | ASOEO | $7.75 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7.79 | $12.98 | $7.79 | 2026-02-17 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS | $7.79 | $12.98 | $7.79 | 2026-02-17 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.80 | $1,625.00 | $1,543.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.80 | $1,625.00 | $1,543.75 | 2026-02-20 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCN DOMESTIC | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $7.83 | — | $27,058.65 | 2026-03-31 | 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.