0094U — Genome Rapid Sequence Alys
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GENOME RAPID SEQUENCE ALYS (CPT 0094U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0094U?code_type=CPT
MLA (9th ed.)
“GENOME RAPID SEQUENCE ALYS (CPT 0094U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0094U?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“GENOME RAPID SEQUENCE ALYS (CPT 0094U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0094U?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,582–$10,556 (25th–75th percentile) across 1,174 hospitals · 1,184 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0094U — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $7.98 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $7.98 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | $8.33 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $8.75 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $8.75 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Ppo/Pos | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Hmo | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $10.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $10.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $10.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $10.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $10.26 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $10.26 | — | — | 2026-04-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional/PPO/Blue Essentitals | $14.06 | — | — | 2025-06-26 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $19.27 | $22,747.00 | $15,922.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $19.27 | $22,747.00 | $15,922.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $19.27 | $22,747.00 | $15,922.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $19.27 | $22,747.00 | $15,922.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $19.27 | $22,747.00 | $15,922.90 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $68.00 | — | — | 2025-10-24 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $85.57 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $85.57 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $85.57 | — | — | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | PLUS PMAP/MNCARE G | $348.84 | — | — | 2025-12-28 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | BCBSAL | All Products | $429.00 | — | — | 2026-04-10 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | BCBSAL | All Products | $429.00 | — | — | 2026-04-10 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $452.35 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $452.35 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $470.44 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $470.44 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $474.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $479.49 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $479.49 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $484.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $493.06 | — | — | 2025-01-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Anthem | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | CareSource | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Buckeye | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Humana | Managed Medicaid | $588.34 | — | — | 2025-07-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Blue Cross Blue Shield | All Products | $598.02 | — | — | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Blue Cross Blue Shield | All Products | $598.02 | — | — | 2025-12-30 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $642.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | UHC | Medicaid | $668.43 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $670.37 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $670.37 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Molina | Medicaid | $674.86 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $676.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Humana | Medicaid | $681.28 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | AmeriHealth Caritas | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye (Centene) | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Caresource | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye Community Health | Medicaid | $687.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $689.71 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $699.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $699.94 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Safe Program | Medicaid | $700.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | PARAMOUNT | Medicaid | $700.56 | — | — | 2025-01-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Blue Cross Blue Shield | All Products | $708.27 | — | — | 2025-12-30 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $724.17 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $724.17 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $724.17 | — | — | 2025-06-04 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $727.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $727.94 | — | — | 2025-01-01 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All Products | $732.20 | — | — | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All Products | $732.20 | — | — | 2025-12-30 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $734.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $734.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $741.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $741.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye (Centene) | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye Community Health | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | AmeriHealth Caritas | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye (Centene) | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | AmeriHealth Caritas | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Buckeye Community Health | Medicaid | $748.94 | — | — | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $759.80 | — | — | 2026-04-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | PARAMOUNT | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | PARAMOUNT | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Safe Program | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Safe Program | Medicaid | $762.93 | — | — | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $767.11 | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | BLUE CROSS | BLUE CROSS | $794.55 | — | — | 2025-12-28 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $795.15 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $795.15 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $795.15 | — | — | 2025-06-04 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $800.63 | — | — | 2025-07-22 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $807.53 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $807.53 | — | — | 2024-10-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $816.64 | — | — | 2025-07-22 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $833.23 | — | — | 2025-06-27 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $846.27 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Traditional | $846.27 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | HealthLink | Commercial | $846.27 | — | — | 2026-02-03 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $846.27 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $846.27 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Anthem | Blue Preferred/Blue Access | $846.27 | — | — | 2025-10-03 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem KY Pathway | HMO | $846.27 | — | — | 2026-02-13 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $846.27 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Pathway of Kentucky | HMO/HPN | $846.27 | — | — | 2026-02-03 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem IN On Exchange | Commercial | $846.27 | — | — | 2026-02-13 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $846.27 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $846.27 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem | HMO/PPO/Traditional | $846.27 | — | — | 2026-02-13 | 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.