88333 — Path Consltj Surg Cyto Xm 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PATH CONSLTJ SURG CYTO XM 1 (CPT 88333) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/88333?code_type=CPT
MLA (9th ed.)
“PATH CONSLTJ SURG CYTO XM 1 (CPT 88333) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/88333?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PATH CONSLTJ SURG CYTO XM 1 (CPT 88333) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/88333?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $105–$870 (25th–75th percentile) across 2,796 hospitals · 7,802 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 88333 — 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
$105
$423 typical
$870
The middle 50% of negotiated facility rates for this procedure, measured across 2,796 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $423 |
| Likely subtotal | $423 |
Facility charge (no separate professional fee)
$423
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $105–$870.
- 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 | — | — | — | $171.18 | $85.59 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $171.18 | $85.59 | 2024-12-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.54 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.60 | $595.65 | $178.69 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.60 | $595.65 | $178.69 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.60 | $595.65 | $178.69 | 2026-07-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.60 | $595.65 | $178.69 | 2026-07-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.60 | $595.65 | $178.69 | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $0.70 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.75 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.81 | — | — | 2026-05-06 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.82 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.82 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.82 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.85 | — | — | 2026-05-06 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.89 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.91 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.92 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.92 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $0.93 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $5,637.00 | $3,664.05 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $5,637.00 | $3,664.05 | 2026-06-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $876.00 | $657.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $876.00 | $657.00 | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $2,491.00 | $1,868.25 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $994.00 | $745.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $994.00 | $745.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $876.00 | $657.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $994.00 | $745.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $994.00 | $745.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $876.00 | $657.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $876.00 | $657.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $876.00 | $657.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $994.00 | $745.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $994.00 | $745.50 | 2026-05-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $1.04 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $1.04 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $1.04 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $1.05 | $107.00 | $107.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.07 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.07 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.07 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.09 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $5,637.00 | $3,664.05 | 2026-06-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.12 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.15 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.41 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.41 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Oscar | HIX | $1.42 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.44 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.44 | $775.00 | $775.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $1.44 | $1,675.00 | $1,675.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.44 | $1,675.00 | $1,675.00 | 2026-07-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.50 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.56 | $288.00 | $273.60 | 2026-02-20 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $1.58 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $1.58 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $1.60 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $1.60 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $1.60 | $22.25 | $22.25 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $1.60 | $22.25 | $22.25 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $1.61 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $1.61 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $1.79 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $1.83 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $3,292.00 | $2,304.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $3,292.00 | $2,304.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $3,292.00 | $2,304.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $3,292.00 | $2,304.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $3,292.00 | $2,304.40 | 2025-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $160.00 | $131.20 | 2025-11-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.92 | $1,067.00 | $852.55 | 2024-12-31 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | VICTIM COMPENSATION PLAN | VICTIM COMPENSATION PLAN | $1.98 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WATSONVILLE COMMUNITY HOSPITAL Both | MEDICRUZ | MEDICRUZ CLASSIC | $1.98 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | BLUE SHIELD PPO [1006104] | BLUE SHIELD COVERED CALIFORNIA IFP ON EXCHANGE [100610404] | — | $29,577.29 | $13,309.78 | 2026-03-23 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | HIX | $2.04 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Oscar | HIX | $2.04 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | AvMed | HIX | $2.05 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Simply Healthcare | HIX | $2.16 | $17.00 | $17.00 | 2026-03-01 | 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 | HEALTH NET PMG HMO | HEALTH NET 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 | 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 | SECURE HORIZONS DIGN HMO | AARP 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 | PACIFICARE HMO | PACIFICARE DIG HMO | $2.20 | $11.00 | $6.60 | 2026-03-24 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,523.00 | — | 2025-06-28 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Simply | MGMCR | $2.52 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.53 | — | — | 2026-05-06 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Truli for Health | COMMHMO | $2.56 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Truli for Health | COMMHMO | $2.58 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Simply | MGMCR | $2.62 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.66 | — | — | 2026-05-06 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $2.69 | $268.64 | $201.48 | 2026-07-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.75 | $83.00 | $30.71 | 2026-03-31 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Oscar | HIX | $2.84 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Oscar | HIX | $2.87 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $3.13 | $251.00 | $175.70 | 2025-01-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Humana | HMO | $3.15 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Humana | PPO | $3.15 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $3.22 | $268.64 | $201.48 | 2026-07-17 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Simply | MGMCR | $3.25 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Simply | MGMCR | $3.28 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $3.34 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $3.34 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $3.39 | $47.08 | $47.08 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $3.39 | $47.08 | $47.08 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Humana | HMO | $3.40 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Humana | PPO | $3.40 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Simply | MGMCR | $3.43 | $22.25 | $22.25 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Simply | MGMCR | $3.44 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $3.49 | $268.64 | $201.48 | 2026-08-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Oscar | HIX | $3.50 | $26.95 | $26.95 | 2026-03-01 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $3.50 | $73.00 | $985.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $3.50 | $73.00 | $985.00 | 2024-12-19 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Oscar | HIX | $3.56 | $22.25 | $22.25 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Oscar | HIX | $3.57 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Evolutions | TieredNetwork | $3.62 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $3.64 | $50.50 | $50.50 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $3.64 | $50.50 | $50.50 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Optimum | MGMCR | $3.65 | $46.75 | $46.75 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Freedom Health | MCR | $3.65 | $46.75 | $46.75 | 2024-10-01 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $3.68 | $73.00 | $985.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $3.68 | $73.00 | $985.00 | 2024-12-19 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Simply Healthcare | HIX | $3.72 | $22.25 | $22.25 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Simply Healthcare | HIX | $3.73 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $3.76 | $268.64 | $201.48 | 2026-08-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $3.77 | $47.08 | $47.08 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $3.78 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $3.78 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $3.81 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $3.81 | $41.00 | $41.00 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $3.85 | $42.80 | $42.80 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Molina Healthcare | MGMCR | $3.86 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCR | $3.87 | $45.00 | $45.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | MGMCR | $3.87 | $45.00 | $45.00 | 2026-03-01 | MRF ↗ |
| TOUCHETTE REGIONAL HOSPITAL INC Outpatient | Coventry | Coventry | $3.88 | $97.00 | $60.14 | 2026-07-15 | MRF ↗ |
| TOUCHETTE REGIONAL HOSPITAL INC Outpatient | Coventry | Coventry | $3.88 | $97.00 | $60.14 | 2026-07-15 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Molina Healthcare | MGMCR | $3.90 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | MGMCR | $3.91 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Evolutions | TieredNetwork | $3.91 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCR | $3.91 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | AvMed | HMOFI | $3.94 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $1,273.42 | $827.72 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $1,273.42 | $827.72 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $1,273.42 | $827.72 | 2025-11-26 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $4.00 | $58.80 | $58.80 | 2026-04-17 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | United | OptionsPPO | $4.01 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | PPO | $4.06 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | HMO | $4.06 | $20.29 | $20.29 | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | AvMed | HMOFI | $4.08 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | United | OptionsPPO | $4.09 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Humana | PPO | $4.10 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Humana | HMO | $4.10 | $20.50 | $20.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Simply | MGMCR | $4.15 | $26.95 | $26.95 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Molina Healthcare | MGMCR | $4.23 | $22.25 | $22.25 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Molina Healthcare | MGMCR | $4.24 | $22.32 | $22.32 | 2026-03-01 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Health Partners | Medicare Cost | $4.26 | $17.25 | $6.92 | 2026-01-29 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $4.33 | $15.75 | $15.75 | 2024-10-01 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Gilsbar Inc | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | UHC Community Plan LA MCD Rep | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Sunshine State Health Plan | QHP | $4.33 | $17.00 | $17.00 | 2026-03-01 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | UHC Community Plan LA MCD Rep | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $4.33 | $34.00 | $20.40 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $4.33 | $34.00 | $20.40 | 2025-07-16 | 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.