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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$544.6 – $5,318

Negotiated median

$750

CPT 99205 Office visit, new patient, 60-74 min · Showing 200 of 1,024 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$5,318
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$5,318
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Multiplan	—	—	negotiated	$5,211.64
ST ELIZABETH COMMUNITY HOSPTIAL	CA	First Health	—	—	negotiated	$5,211.64
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Health Net	—	—	negotiated	$5,115.92
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$5,041.47
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,548
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,511.62
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,371
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$4,287.96
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Cigna	—	—	negotiated	$4,211.86
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$3,993.82
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Aetna	—	—	negotiated	$3,860.87
DOMINICAN HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,846.48
SEQUOIA HOSPITAL	CA	Multiplan	—	—	negotiated	$3,738.46
DOMINICAN HOSPITAL	CA	First Health	—	—	negotiated	$3,715.35
DOMINICAN HOSPITAL	CA	Multiplan	—	—	negotiated	$3,715.35
SEQUOIA HOSPITAL	CA	Kaiser Permanente	—	—	negotiated	$3,501.96
DOMINICAN HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$3,496.8
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$3,329.14
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$3,201.44
SEQUOIA HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$3,101.74
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$3,035
DOMINICAN HOSPITAL	CA	Kaiser Permanente	—	—	negotiated	$2,841.15
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,981
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Aetna	—	—	negotiated	$1,981
SEQUOIA HOSPITAL	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$1,946.55
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,885
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,868
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Multiplan	—	—	negotiated	$1,584.8
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,537
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| us behavioral health\| all plans	—	—	negotiated	$1,537
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - MCS	inpatient	negotiated	$1,498.14
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,486.28
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,467.84
ST. BERNARDINE MEDICAL CENTER	CA	Anthem BCBS	—	—	negotiated	$1,442
ST. BERNARDINE MEDICAL CENTER	CA	Blue Cross Blue Shield	—	—	negotiated	$1,385
ST. BERNARDINE MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$1,385
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	First Health	—	—	negotiated	$1,327.27
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,311
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,300.52
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	commercial \| us behavior health \| all plans	—	—	negotiated	$1,265
ST. JOHNS PLEASANT VALLEY HOSPITAL	CA	Kaiser Permanente	—	—	negotiated	$1,228.22
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$1,228
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$1,228
ST. BERNARDINE MEDICAL CENTER	CA	Health Net	—	—	negotiated	$1,217.56
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	UnitedHealthcare	—	—	negotiated	$1,213.27
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Multiplan	—	—	negotiated	$1,209.62
ST ELIZABETH COMMUNITY HOSPTIAL	CA	First Health	—	—	negotiated	$1,203.44
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Multiplan	—	—	negotiated	$1,203.44
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Health Net	—	—	negotiated	$1,181.34
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$1,164.15
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,137
ST. BERNARDINE MEDICAL CENTER	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$1,135.7
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$1,127.91
ST. BERNARDINE MEDICAL CENTER	CA	Health Net	—	—	negotiated	$1,114.93
ST. BERNARDINE MEDICAL CENTER	CA	Multiplan	—	—	negotiated	$1,108
SEQUOIA HOSPITAL	CA	Multiplan	—	—	negotiated	$1,077.65
ST. BERNARDINE MEDICAL CENTER	CA	Aetna	—	—	negotiated	$1,076.15
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$1,075.9
ST. BERNARDINE MEDICAL CENTER	CA	Health Net	—	—	negotiated	$1,029.2
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	Multiplan	—	—	negotiated	$1,012
SEQUOIA HOSPITAL	CA	Kaiser Permanente	—	—	negotiated	$1,009.47
ST. BERNARDINE MEDICAL CENTER	CA	Cigna	—	—	negotiated	$999.97
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Cigna	—	—	negotiated	$972.58
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$955.86
GARDEN GROVE HOSPITAL MEDICAL CENTER	CA	brand new day	Brand New Day Exchange	outpatient	negotiated	$946.65
SEQUOIA HOSPITAL	CA	Multiplan	—	—	negotiated	$934.62
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$922.23
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| magellan \| all plans	—	—	negotiated	$922.2
ST. BERNARDINE MEDICAL CENTER	CA	First Health	—	—	negotiated	$914.1
ST. BERNARDINE MEDICAL CENTER	CA	Aetna	—	—	negotiated	$909.95
SEQUOIA HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$894.11
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Aetna	—	—	negotiated	$891.53
SEQUOIA HOSPITAL	CA	Kaiser Permanente	—	—	negotiated	$875.49
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| us behavioral health\| all plans	—	—	negotiated	$866
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$866
HUNTINGTON BEACH HOSPITAL	CA	brand new day	Brand New Day Commercial Exchange	outpatient	negotiated	$841.19
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$837.43
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$832.29
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$827.03
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Blue Shield	outpatient	negotiated	$823.49
STANFORD HEALTH CARE	CA	american specialty health plan alt payer [971000000]	Blue Shield	both	negotiated	$823.49
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Blue Shield	both	negotiated	$823.49
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Blue Shield	inpatient	negotiated	$823.49
STANFORD HEALTH CARE	CA	american specialty health plan alt payer [971000000]	Blue Shield	outpatient	negotiated	$823.49
STANFORD HEALTH CARE	CA	american specialty health plan alt payer [971000000]	Blue Shield	inpatient	negotiated	$823.49
SHARP MEMORIAL HOSPITAL	CA	Health Net	Health Net - PPO	outpatient	negotiated	$800.66
SEQUOIA HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$775.44
STANFORD HEALTH CARE	CA	UnitedHealthcare	United Health Care	inpatient	negotiated	$769.75
STANFORD HEALTH CARE	CA	umr [17000]	United Health Care	both	negotiated	$769.75
STANFORD HEALTH CARE	CA	umr [17000]	United Health Care	inpatient	negotiated	$769.75
STANFORD HEALTH CARE	CA	UnitedHealthcare	United Health Care	both	negotiated	$769.75
STANFORD HEALTH CARE	CA	umr [17000]	United Health Care	outpatient	negotiated	$769.75
STANFORD HEALTH CARE	CA	UnitedHealthcare	United Health Care	outpatient	negotiated	$769.75
PACIFICA HOSPITAL OF THE VALLEY	CA	altamed	Commercial	outpatient	negotiated	$763
PACIFICA HOSPITAL OF THE VALLEY	CA	Molina	Medi-Cal	outpatient	negotiated	$763
PACIFICA HOSPITAL OF THE VALLEY	CA	Blue Cross Blue Shield	Medi-Cal	outpatient	negotiated	$763
PACIFICA HOSPITAL OF THE VALLEY	CA	heritage provider network	Medi-Cal	outpatient	negotiated	$763
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	commercial \| us behavior health \| all plans	—	—	negotiated	$750
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$750
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Blue Cross Blue Shield	—	—	negotiated	$739.26
MARIAN MEDICAL CENTER	CA	Multiplan	—	—	negotiated	$736.5
ST. BERNARDINE MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$735
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	UnitedHealthcare	—	—	negotiated	$719.33
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$708
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$708
BAKERSFIELD MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$706
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Multiplan	—	—	negotiated	$693.84
ST ELIZABETH COMMUNITY HOSPTIAL	CA	First Health	—	—	negotiated	$693.84
MARIAN MEDICAL CENTER	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$690
STANFORD HEALTH CARE	CA	Aetna	Aetna	inpatient	negotiated	$685.68
STANFORD HEALTH CARE	CA	Aetna	Aetna	both	negotiated	$685.68
STANFORD HEALTH CARE	CA	Aetna	Aetna	outpatient	negotiated	$685.68
SAINT FRANCIS MEMORIAL HOSPITAL	CA	Multiplan	—	—	negotiated	$681.55
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Health Net	—	—	negotiated	$681.1
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$675
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| us behavioral health\| all plans	—	—	negotiated	$675
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$671.19
SHARP MEMORIAL HOSPITAL	CA	Humana	Choice Care Network	outpatient	negotiated	$669.94
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	commercial \| us behavior health \| all plans	—	—	negotiated	$664
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	UnitedHealthcare	—	—	negotiated	$662.74
SHARP MEMORIAL HOSPITAL	CA	Kaiser Permanente	Kaiser - HMO	inpatient	negotiated	$653.6
SHARP MEMORIAL HOSPITAL	CA	Aetna	Aetna - PPO	inpatient	negotiated	$653.6
SHARP CHULA VISTA MEDICAL CENTER	CA	Health Net	Health Net - PPO	inpatient	negotiated	$653.6
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$652.73
GLENDALE MEMORIAL HOSPITAL & HLTH CT	CA	Multiplan	—	—	negotiated	$648
SAINT FRANCIS MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$644.63
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$639
STANFORD HEALTH CARE	CA	Health Net	Healthnet	inpatient	negotiated	$638.24
STANFORD HEALTH CARE	CA	Health Net	Healthnet	both	negotiated	$638.24
STANFORD HEALTH CARE	CA	Health Net	Healthnet	outpatient	negotiated	$638.24
SHARP MEMORIAL HOSPITAL	CA	Aetna	First Health - Leased/CCN	outpatient	negotiated	$637.96
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	UnitedHealthcare	—	—	negotiated	$636.85
SEQUOIA HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$633.89
MARIAN MEDICAL CENTER	CA	First Health	—	—	negotiated	$630
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - PPO	outpatient	negotiated	$629.09
SHARP MEMORIAL HOSPITAL	CA	Aetna	Aetna - HMO/POS	outpatient	negotiated	$629.09
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$625
GROSSMONT HOSPITAL	CA	indian health council	Indian Health Council	outpatient	negotiated	$622.4
SHARP CHULA VISTA MEDICAL CENTER	CA	Health Net	Health Net - Medicare	outpatient	negotiated	$622.4
MARIAN MEDICAL CENTER	CA	Multiplan	—	—	negotiated	$613.75
ST. BERNARDINE MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$613.56
GROSSMONT HOSPITAL	CA	community health group	Community Health Group - Medi-Cal	outpatient	negotiated	$612.75
SHARP MEMORIAL HOSPITAL	CA	epic americas	AXA Assistance	inpatient	negotiated	$612.75
SHARP CHULA VISTA MEDICAL CENTER	CA	san diego pace	San Diego Pace	inpatient	negotiated	$612.75
STANFORD HEALTH CARE	CA	shca comm intel [20300000]	Anthem Blue Cross	outpatient	negotiated	$612.31
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Anthem Blue Cross	outpatient	negotiated	$612.31
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Anthem Blue Cross	both	negotiated	$612.31
STANFORD HEALTH CARE	CA	blue card (out of state) [40000]	Anthem Blue Cross	both	negotiated	$612.31
STANFORD HEALTH CARE	CA	shca comm intel [20300000]	Anthem Blue Cross	inpatient	negotiated	$612.31
STANFORD HEALTH CARE	CA	blue card (out of state) [40000]	Anthem Blue Cross	outpatient	negotiated	$612.31
STANFORD HEALTH CARE	CA	shca comm intel [20300000]	Anthem Blue Cross	both	negotiated	$612.31
STANFORD HEALTH CARE	CA	blue card (out of state) [40000]	Anthem Blue Cross	inpatient	negotiated	$612.31
STANFORD HEALTH CARE	CA	Blue Cross Blue Shield	Anthem Blue Cross	inpatient	negotiated	$612.31
SAINT FRANCIS MEMORIAL HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$606.2
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$605
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Kaiser Permanente	—	—	negotiated	$605
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	Multiplan	—	—	negotiated	$600
SHARP MEMORIAL HOSPITAL	CA	Aetna	First Health Medicare	outpatient	negotiated	$599.06
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Multiplan	—	—	negotiated	$592.9
ST ELIZABETH COMMUNITY HOSPTIAL	CA	First Health	—	—	negotiated	$592.9
SHARP MEMORIAL HOSPITAL	CA	Humana	Choice Care Network	inpatient	negotiated	$583.5
SHARP CHULA VISTA MEDICAL CENTER	CA	Molina	Molina - Exchange	outpatient	negotiated	$583.5
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Health Net	—	—	negotiated	$582.01
STANFORD HEALTH CARE	CA	Kaiser Permanente	Multiplan	inpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	beech st [10600]	Multiplan	inpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	Kaiser Permanente	Multiplan	both	negotiated	$575.73
STANFORD HEALTH CARE	CA	private healthcare systems (phcs) [14200]	Multiplan	inpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	beech st [10600]	Multiplan	both	negotiated	$575.73
STANFORD HEALTH CARE	CA	private healthcare systems (phcs) [14200]	Multiplan	both	negotiated	$575.73
STANFORD HEALTH CARE	CA	claritev [13400]	Multiplan	both	negotiated	$575.73
STANFORD HEALTH CARE	CA	beech st [10600]	Multiplan	outpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	Kaiser Permanente	Multiplan	outpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	claritev [13400]	Multiplan	inpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	private healthcare systems (phcs) [14200]	Multiplan	outpatient	negotiated	$575.73
STANFORD HEALTH CARE	CA	claritev [13400]	Multiplan	outpatient	negotiated	$575.73
PACIFICA HOSPITAL OF THE VALLEY	CA	Molina	Medi-Cal	outpatient	negotiated	$575
PACIFICA HOSPITAL OF THE VALLEY	CA	heritage provider network	Medi-Cal	outpatient	negotiated	$575
MARIAN MEDICAL CENTER	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$575
PACIFICA HOSPITAL OF THE VALLEY	CA	Blue Cross Blue Shield	Medi-Cal	outpatient	negotiated	$575
PACIFICA HOSPITAL OF THE VALLEY	CA	altamed	Commercial	outpatient	negotiated	$575
ST ELIZABETH COMMUNITY HOSPTIAL	CA	UnitedHealthcare	—	—	negotiated	$573.54
GROSSMONT HOSPITAL	CA	Medicare	Medicare	inpatient	negotiated	$571.9
SHARP MEMORIAL HOSPITAL	CA	UnitedHealthcare	United Healthcare - PPO	outpatient	negotiated	$571.9
SHARP CHULA VISTA MEDICAL CENTER	CA	Blue Cross Blue Shield	Blue Cross - Prudent Buyer	inpatient	negotiated	$571.9
SHARP CHULA VISTA MEDICAL CENTER	CA	Aetna	Aetna Whole Health	inpatient	negotiated	$571.9
NORTHRIDGE MEDICAL CENTER - ROSCOE	CA	commercial \| us behavior health \| all plans	—	—	negotiated	$562
MARIAN MEDICAL CENTER	CA	UnitedHealthcare	—	—	negotiated	$561.83
SEQUOIA HOSPITAL	CA	commercial \| connected care intel \| all plans	—	—	negotiated	$561.11
ST ELIZABETH COMMUNITY HOSPTIAL	CA	Cigna	—	—	negotiated	$560.74
BAKERSFIELD MEMORIAL HOSPITAL	CA	Multiplan	—	—	negotiated	$555.63
SHARP MEMORIAL HOSPITAL	CA	Cigna	Cigna - PPO	outpatient	negotiated	$555.56
SHARP MEMORIAL HOSPITAL	CA	interplan	Interplan	outpatient	negotiated	$555.56
SIERRA NEVADA MEMORIAL HOSPITAL	CA	UnitedHealthcare	—	—	negotiated	$555.54
SIERRA NEVADA MEMORIAL HOSPITAL	CA	commercial \| healthsmart \| all plans	—	—	negotiated	$552.72
SIERRA NEVADA MEMORIAL HOSPITAL	CA	Multiplan	—	—	negotiated	$552.72
SHARP MEMORIAL HOSPITAL	CA	UnitedHealthcare	United Healthcare - PPO	inpatient	negotiated	$547.39
GROSSMONT HOSPITAL	CA	Molina	Molina - Exchange	inpatient	negotiated	$544.6
SHARP CHULA VISTA MEDICAL CENTER	CA	community health group	Community Health Group - Medi-Cal	inpatient	negotiated	$544.6

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).