0138U — Brca1 Brca2 Mrna Seq Alys
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Brca1 brca2 mrna seq alys (OTHER 0138U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0138U?code_type=OTHER
MLA (9th ed.)
“Brca1 brca2 mrna seq alys (OTHER 0138U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0138U?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Brca1 brca2 mrna seq alys (OTHER 0138U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0138U?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $468–$727 (25th–75th percentile) across 638 hospitals · 588 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0138U — 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 |
|---|---|---|---|---|---|---|---|
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $80.55 | — | — | 2026-03-31 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $85.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $85.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $89.33 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $89.33 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $89.87 | — | — | 2026-06-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $90.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $91.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $91.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $91.90 | — | — | 2025-01-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $93.38 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $93.38 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $93.38 | — | — | 2026-06-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $93.62 | — | — | 2025-01-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $95.16 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $95.16 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $97.44 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $99.33 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $99.33 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $99.33 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $100.28 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $101.22 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $101.22 | — | — | 2026-06-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $103.03 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $103.03 | — | — | 2025-12-23 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $104.06 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $117.73 | — | — | 2026-06-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $121.76 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $121.76 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $121.76 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $121.76 | — | — | 2025-07-22 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $123.62 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $123.62 | — | — | 2026-06-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $124.01 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $124.01 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $124.01 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $124.01 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $124.20 | — | — | 2025-07-22 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $125.20 | — | — | 2026-04-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $125.97 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $125.97 | — | — | 2026-06-15 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $126.72 | — | — | 2025-06-27 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $129.50 | — | — | 2026-06-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $132.72 | — | — | 2025-07-22 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $161.69 | — | — | 2025-01-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | Wellpoint | Tenncare Medicaid Managed Care Plan | $163.92 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $167.68 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $167.68 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | UHC | Medicaid | $168.16 | — | — | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $168.49 | — | — | 2026-04-01 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_742 | All Commercial Products | $168.60 | — | — | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Oxford_741 | All Commercial Products | $168.60 | — | — | 2026-02-02 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $169.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Molina | Medicaid | $169.77 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Humana | Medicaid | $171.39 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Buckeye (Centene) | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | AmeriHealth Caritas | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Caresource | Medicaid | $172.52 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | AmeriHealth Caritas | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye (Centene) | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Caresource | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Buckeye Community Health | Medicaid | $173.01 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Safe Program | Medicaid | $176.24 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | PARAMOUNT | Medicaid | $176.24 | — | — | 2025-01-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $179.05 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $179.05 | — | — | 2026-03-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $179.05 | — | — | 2026-02-06 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $183.07 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $183.07 | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Traditional | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Traditional | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo Pathway Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Hmo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo Pathway Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | All Products | $187.20 | — | — | 2025-07-22 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Traditional | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | ANTHEM BCBS | ALL PRODUCTS | $187.20 | — | — | 2026-03-20 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem Traditional | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Traditional | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $187.20 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $187.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $187.20 | — | — | 2026-01-01 | 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.