0211U — Onc Pan-tum Dna&rna Gnrj Seq
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Onc pan-tum dna&rna gnrj seq (OTHER 0211U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0211U?code_type=OTHER
MLA (9th ed.)
“Onc pan-tum dna&rna gnrj seq (OTHER 0211U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0211U?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Onc pan-tum dna&rna gnrj seq (OTHER 0211U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0211U?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,933–$12,852 (25th–75th percentile) across 646 hospitals · 589 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0211U — 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 |
|---|---|---|---|---|---|---|---|
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $11,025.00 | $8,455.00 | 2026-09-05 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | EXCHANGE | $60.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | EXCHANGE | $60.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $60.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $60.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | EXCHANGE | $60.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $8,455.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | United Healthcare | IEX | $67.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | United Healthcare | IEX | $67.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | United Healthcare | IEX | $67.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | United Healthcare | IEX | $67.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | United Healthcare | Commercial | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | United Healthcare | Commercial | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | United Healthcare | Commercial | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | United Healthcare | NHP | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | United Healthcare | NHP | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | United Healthcare | NHP | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | United Healthcare | NHP | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | United Healthcare | Commercial | $74.00 | $8,455.00 | $5,918.50 | 2026-05-27 | MRF ↗ |
| MONUMENT HEALTH SPEARFISH HOSPITAL Outpatient | BCBS WELLMARK - ALL OTHER PLANS | BCBS WELLMARK - ALL OTHER PLANS | $132.50 | $11,025.00 | $8,820.00 | 2026-09-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | Commercial HMO | $168.52 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | All Commercial Products | $168.52 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | All Commercial Plans | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | ANTHEM BCBS | ALL PRODUCTS | $208.00 | — | — | 2026-03-20 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | All Products | $208.00 | — | — | 2025-07-22 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | ANTHEM BCBS | ALL PRODUCTS | $208.00 | — | — | 2026-03-20 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo Pathway Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Hmo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo Pathway Exchange | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $208.00 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $208.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $208.00 | — | — | 2026-04-01 | 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.