89220 — Sputum Specimen Collection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPUTUM SPECIMEN COLLECTION (CPT 89220) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/89220?code_type=CPT
MLA (9th ed.)
“SPUTUM SPECIMEN COLLECTION (CPT 89220) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/89220?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SPUTUM SPECIMEN COLLECTION (CPT 89220) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/89220?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $67–$213 (25th–75th percentile) across 1,902 hospitals · 5,469 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 89220 — 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
$67
$161 typical
$213
The middle 50% of negotiated facility rates for this procedure, measured across 1,902 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. | $161 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $21 × 1.22 commercial. | $26 |
| Likely subtotal | $186 |
Surgical episode (typical)
~$186
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)
~$3,971
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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.23 | $229.00 | $171.75 | 2026-03-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $0.43 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $0.47 | — | — | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $0.47 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $0.47 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $0.48 | — | — | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $0.48 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $0.49 | — | — | 2025-11-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.49 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.51 | — | — | 2026-05-06 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.58 | $208.00 | $76.96 | 2026-03-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $0.71 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.76 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.80 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $1.31 | — | — | 2026-01-01 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $1.38 | $25.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $1.38 | $25.50 | — | 2026-01-15 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $1.42 | — | — | 2025-12-31 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $1.43 | $25.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $1.43 | $25.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $1.43 | $25.50 | — | 2026-01-15 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $1.54 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $1.54 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $1.54 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $1.54 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $1.54 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $1.54 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $2.00 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA MCR | MCR | — | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA COMM | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $2.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $2.00 | — | — | 2024-10-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $2.03 | $15.00 | $11.25 | 2026-01-16 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Blue Shield of Promise | Blue Shield Of Promise Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER Outpatient | Caloptima | Caloptima Medi-Medi | $2.07 | $916.83 | $277.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Avanti Hospitals, LLC | Avanti Hospitals, LLC Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | LA Care Health Plan | LA Care Health Plan Medi-Cal - IPA | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Heritage Provider Network Inc | Heritage Provider Network Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Kaiser Hospital Foundation | Kaiser Hospital Foundation Medi-cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $2.07 | $916.83 | $277.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Sheild Of Promise Medi-Cal | $2.07 | $89.52 | $277.00 | 2024-12-19 | MRF ↗ |
| ALAMEDA HOSPITAL BothFacility | KAISER MEDI-CAL MANAGED CARE [1026106] | Kaiser Medi-Cal Managed Care | $2.07 | $1,308.23 | $654.11 | 2026-03-16 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Blue Shield of Promise | Blue Shield Of Promise Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | AIDS Healthcare Foundation | Aids Health Care Foundation Medi-cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | HIGH DESERT PACE | HIGH DESERT PACE Med-Cal | $2.07 | $589.34 | $218.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Sheild Of Promise Medi-Cal | $2.07 | $589.34 | $218.00 | 2026-03-17 | MRF ↗ |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER Outpatient | Caloptima | Caloptima Medi-Cal Adult expansion | $2.07 | $916.83 | $277.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Vantage Care | Vantage Care Medi-Cal | $2.07 | $589.34 | $218.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Heritage Victor Valley Medical Group | Heritage Victor Valley Medical Group Medi-Cal | $2.07 | $589.34 | $218.00 | 2026-03-17 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Traditional Medi-cal | Traditional Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $589.34 | $218.00 | 2026-03-17 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | LA Care Health Plan | L A Care Health Plan Medi-cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal IP | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal Adult Expansion | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| MONTCLAIR HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $916.83 | $277.00 | 2024-12-19 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Vantage Care | Vantage Care Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Heritage Provider Network Inc | Heritage Provider Network Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal IP | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Heritage Victor Valley Medical Group | Heritage Victor Valley Medical Group Medi-Cal | $2.07 | $89.52 | $277.00 | 2024-12-19 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Vantage Care | Vantage Care Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Caloptima | Cal Optima Pace Cal Medi Connect | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $2.07 | $589.34 | $218.00 | 2026-03-17 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | LA Care Health Plan | L.A Care Health Plan Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | LA Care Health Plan | L.A Care Health Plan Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | COUNTY OF ORANGE (MSN) | COUNTY OF ORANGE (MSN) Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| MONTCLAIR HOSPITAL MEDICAL CENTER Outpatient | Non-Contracted Medi-Cal | Non Contracted Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Molina Healthcare | Molina Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| SAN DIMAS COMMUNITY HOSPITAL Outpatient | Molina Healthcare | Molina Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Caloptima | Cal Optima Medi-Cal IP | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER Outpatient | Caloptima | Caloptima Medi-Cal IP | $2.07 | $916.83 | $277.00 | 2024-12-19 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Caloptima | Caloptima Medi-Adult expansion | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| MONTCLAIR HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal IP | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Vantage Care | Vantage Care Medi-Cal | $2.07 | $89.52 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Caloptima | Cal Optima Medi-Cal IP | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Molina | Molina Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | Molina | Molina Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Caloptima | Caloptima Medi-Medi | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $2.07 | $89.52 | $277.00 | 2024-12-19 | MRF ↗ |
| MONTCLAIR HOSPITAL MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Caloptima | Caloptima Medi-Cal IP | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| HUNTINGTON BEACH HOSPITAL Outpatient | COUNTY OF ORANGE (MSN) | COUNTY OF ORANGE (MSN) Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| LA PALMA INTERCOMMUNITY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $2.07 | $888.60 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Caloptima | Caloptima Medi-Medi | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $1,006.09 | $218.00 | 2026-03-17 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Caloptima | Caloptima Medi-Cal Adult Expansion | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $2.07 | $440.95 | $277.00 | 2024-12-19 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $2.07 | $1,110.75 | $218.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Inland Empire Health Plan | Inland Empire Healthpaln Medi-Cal | $2.07 | $89.52 | $277.00 | 2024-12-19 | 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.