89240 — Unlisted Misc Path Test
Cite this view
HANK Price Transparency. (n.d.). UNLISTED MISC PATH TEST (CPT 89240) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/89240?code_type=CPT
“UNLISTED MISC PATH TEST (CPT 89240) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/89240?code_type=CPT. Accessed .
“UNLISTED MISC PATH TEST (CPT 89240) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/89240?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50–$116 (25th–75th percentile) across 1,689 hospitals · 2,639 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 89240 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 1,689 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $63 |
| Likely subtotal | $63 |
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 $50–$116.
- 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 |
|---|---|---|---|---|---|---|---|
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Aetna | COMM | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Priority HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Access | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Priority PPO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Small Group | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Self Pay | All Plans | $0.03 | — | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Connection | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Connection | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Access | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | — | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Priority PPO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $0.05 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.05 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Access | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Connection | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Indemnity | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Priority HMO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Priority PPO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | HMO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MCS WC | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS NON MCS | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MCS PPO | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS NON MCS PPO/HMO | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $0.23 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Access 2 Healthcare Physicians | MGMCR | $0.26 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Aetna | MCR | $0.34 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $0.36 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $0.36 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | PFFS | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Optimum Healthcare | PFFS | $0.39 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Optimum Healthcare | MCRHMO | $0.39 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Optimum Healthcare | PPO | $0.39 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Freedom Health Care | MGMGR | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Freedom Health Care | MCR | $0.39 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $0.39 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.40 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Aetna | MCR | $0.41 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.46 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Davita Healthplan | Managed Care | $0.50 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Healthcare Partners | Managed Care | $0.50 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| GLENDORA HOSPITAL Outpatient | Davita Healthplan | Managed Care | $0.50 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| GLENDORA HOSPITAL Outpatient | Healthcare Partners | Managed Care | $0.50 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| GLENDORA HOSPITAL Outpatient | Aetna | Managed Care | $0.50 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| GLENDORA HOSPITAL Outpatient | Value Options | Commercial | $0.50 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Aetna | Managed Care | $0.50 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Suncoast Neighborly Care | LOCALGOV | $0.50 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Value Options | Commercial | $0.50 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| GLENDORA HOSPITAL Inpatient | Kaiser | Commercial | $0.60 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| COLLEGE MEDICAL CENTER Inpatient | Kaiser | Commercial | $0.60 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $54.00 | — | 2026-07-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Simply Healthcare | HIX | $0.64 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Bright Health | HIX | $0.65 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Health Net | Narrow Network Salud | $0.65 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Oscar | HIX | $0.65 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| GLENDORA HOSPITAL Outpatient | Health Net | Narrow Network Salud | $0.65 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Self Pay | Self Pay | $0.74 | $3.10 | $0.74 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Oscar | HIX | $0.75 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Simply Healthcare | MGMCR | $0.77 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Bp Health Advocate | Bp Health Advocate | $0.78 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Simply Healthcare | MGMCR | $0.80 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | United | OptionsPPO | $0.82 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| GLENDORA HOSPITAL Outpatient | Multiplan | Managed Care | $0.85 | $1.00 | $0.75 | 2026-07-20 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Multiplan | Managed Care | $0.85 | $1.00 | $0.75 | 2026-07-15 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | United | OptionsPPO | $0.88 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Viva Health | Viva New | $0.93 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $369.00 | $239.85 | 2026-06-15 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Molina | MGMCR | $0.95 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Molina | MGMCR | $0.95 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $369.00 | $239.85 | 2026-06-15 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $0.97 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $0.97 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Allegiance | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Choice Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $0.97 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.97 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $0.97 | — | — | 2026-03-28 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Alamed | Alamed Work Comp Al | $1.08 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Choicecare | Choicecare Ppo | $1.08 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Ag Administrators | Ag Administrators | $1.08 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Drummond | Drummond Work Comp Al | $1.09 | $3.10 | $0.74 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | AvMed | HMOFI | $1.10 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $369.00 | $239.85 | 2026-06-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Evolutions Healthcare Systems | PrimeTier1 | $1.15 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | AvMed | HMOFI | $1.15 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | American Employee Alliance | American Employee Alliance | $1.24 | $3.10 | $0.74 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | AvMed | ASOEO | $1.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $1.27 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | AvMed | ASOEO | $1.30 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Sunshine State Health Plan | QHP | $1.32 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Molina | HIX | $1.35 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Molina | HIX | $1.35 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | HMO | $1.40 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $1.40 | $9.35 | $1.78 | 2026-08-02 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Optum Health | Optum Health | $1.40 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Humana | PPO | $1.40 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | PPO | $1.40 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Humana | HMO | $1.40 | $5.00 | $5.00 | 2024-10-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $1.43 | $7.50 | $1.50 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Aetna | ASA | $1.50 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Healthchoice | Healthchoice Non Standard 1 | $1.55 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Value Options | Value Options Non Hmo | $1.55 | $3.10 | $0.74 | 2026-07-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Viva Health | Viva Existing | $1.71 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Healthchoice | Healthchoice Non Standard 2 | $1.71 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $1.78 | $9.35 | $2.52 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1.78 | $9.35 | $2.52 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1.78 | $9.35 | $2.52 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $1.78 | $9.35 | $2.52 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1.78 | $9.35 | $2.52 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1.78 | $9.35 | $2.52 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $1.78 | $9.35 | $2.52 | 2026-05-21 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Healthchoice | Healthchoice Standard | $1.86 | $3.10 | $0.74 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | First Health | First Health | $1.86 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Multiplan | Multiplan Primary | $1.89 | $3.10 | $0.74 | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Outpatient | Multiplan | Multiplan Primary | $1.92 | $3.10 | $0.47 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1.96 | $9.35 | $3.37 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $1.96 | $9.35 | $3.37 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $1.96 | $9.35 | $3.37 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | TRICARE BLUE SHIELD- ALL PLANS | TRICARE BLUE SHIELD- ALL PLANS | $1.96 | $9.35 | $3.37 | 2026-07-29 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Medicaid | Medicaid | $1.96 | $7.50 | $1.50 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $1.96 | $9.35 | $3.37 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | KAISER MCR ADV | KAISER MCR ADV | $1.96 | $9.35 | $3.37 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $2.04 | $9.35 | $3.37 | 2026-01-24 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Superior Tx | Medicaid | $2.04 | $7.50 | $1.50 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $2.04 | $9.35 | $3.37 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $2.05 | $9.35 | $1.87 | 2026-01-27 | MRF ↗ |
| UCSF HEALTH ST. MARY'S HOSPITAL Outpatient | SFHP | Medicaid|> 21 | $2.06 | $8.23 | $8.23 | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | SFHP | Medicaid|< 21 | $2.06 | $8.23 | $8.23 | 2026-02-28 | MRF ↗ |
| UCSF HEALTH ST. MARY'S HOSPITAL Outpatient | SFHP | Medicaid|< 21 | $2.06 | $8.23 | $8.23 | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | SFHP | Medicaid|> 21 | $2.06 | $8.23 | $8.23 | 2026-02-28 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $2.09 | $11.00 | $2.20 | 2026-07-15 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $2.13 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $2.13 | $138.00 | $69.00 | 2026-03-23 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $2.13 | — | — | 2026-04-30 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $2.13 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $2.13 | $138.00 | $69.00 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $2.13 | $138.00 | $69.00 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $2.13 | $138.00 | $69.00 | 2026-03-23 | 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.