0282U — Rbc DNA Gntyp 12 Bld Grp Gen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Rbc dna gntyp 12 bld grp gen (OTHER 0282U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0282U?code_type=OTHER
MLA (9th ed.)
“Rbc dna gntyp 12 bld grp gen (OTHER 0282U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0282U?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Rbc dna gntyp 12 bld grp gen (OTHER 0282U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0282U?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $720–$1,318 (25th–75th percentile) across 671 hospitals · 717 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0282U — 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 | $2,160.00 | $720.00 | 2026-09-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $23.42 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $23.42 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $23.42 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $24.05 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $24.68 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $25.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $25.32 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $30.00 | $712.50 | $427.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $30.00 | $712.50 | $427.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $30.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $31.01 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $31.01 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $31.64 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $32.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $32.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $32.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $32.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $32.91 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $34.18 | $6,329.00 | $6,012.55 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $35.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $35.00 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $46.42 | $1,030.00 | $824.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Outpatient | Blue_Cross | Capital_Blue_Performance_PPO | $58.89 | $1,030.00 | $824.00 | 2026-01-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Blue Cross Blue Shield | All Products | $64.13 | — | — | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Blue Cross Blue Shield | All Products | $64.13 | — | — | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Blue Cross Blue Shield | All Products | $75.95 | — | — | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All Products | $78.52 | — | — | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All Products | $78.52 | — | — | 2025-12-30 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Dual | $79.30 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSHO | $81.65 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $85.50 | $712.50 | $427.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $87.99 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $92.62 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | COMMERCIAL | $93.74 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $97.04 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $97.04 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $97.26 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $97.26 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $97.26 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $97.26 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $97.26 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $106.88 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $106.88 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $111.15 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MINNESOTACARE-MANAGED MEDICAID | $111.22 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSC+ Dual | $114.91 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CareWorks fka Rockport | Worker's Compensation | $115.07 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Sedgwick | Preferred Network | $115.07 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Injury Management Organization | Med Select Network | $115.07 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $116.28 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $123.84 | — | — | 2026-03-31 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $127.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $127.22 | — | — | 2025-01-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Superior Health Plan | Medicaid | $128.25 | $712.50 | $427.50 | 2026-02-20 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | IFB CHOICE | $128.69 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MEDICA CHOICE/MEDICA FOCUS Employee | $128.69 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | CLEAR VALUE ACO FI | $128.69 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $132.31 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $132.31 | — | — | 2025-01-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | CLEAR VALUE ACO SI | $133.06 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $133.58 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $133.58 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $133.58 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $133.58 | — | — | 2025-01-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UCARE | MSHO | $134.40 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UCARE | MINNESOTACARE-MANAGED MEDICAID | $134.40 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $134.85 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $134.85 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $136.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $138.67 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $138.67 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $138.67 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $138.67 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $141.84 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MEDICA CHOICE/MEDICA FOCUS Non-Employee | $143.14 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ELECT-ESSENTIAL | $143.14 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $147.37 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $147.37 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $147.37 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $149.04 | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $149.04 | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $149.04 | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $149.04 | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $149.04 | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $149.04 | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $2,160.00 | $1,512.00 | 2026-04-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $150.17 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $150.17 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HENNEPIN HEALTH | PMAP-Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | BCBS | MHCP-Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UBH | COMMERCIAL/Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | PMAP-Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UCARE | Managed Medicaid | $151.87 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Plus - Small Group | $152.83 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $153.79 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $156.78 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $156.78 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $156.78 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $158.27 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $158.40 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $158.40 | — | — | 2025-12-23 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $159.76 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $159.76 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $164.24 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UCARE | COMMERCIAL | $168.00 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HENNEPIN HEALTH | MinnesotaCare | $168.00 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | WELLMARK HMO | WELLMARK HMO | $169.78 | $600.00 | $480.00 | 2026-05-18 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | MSHO | $170.35 | $336.00 | $151.20 | 2025-12-17 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Outpatient | Blue_Cross_BlueJourney_Medicare | All_Plans | $181.28 | $1,030.00 | $824.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Aetna_Better_Health_Kids | All_Plans | $185.40 | $1,030.00 | $824.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Outpatient | Aetna_Better_Health_Kids | All_Plans | $185.40 | $1,030.00 | $824.00 | 2026-01-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $185.81 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | WELLMARK PPO - ALL OTHER PLANS | WELLMARK PPO - ALL OTHER PLANS | $186.42 | $600.00 | $480.00 | 2026-05-18 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $195.10 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $195.10 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $195.72 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $195.72 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $195.72 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $195.72 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $197.60 | — | — | 2026-04-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $198.82 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $198.82 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $204.39 | $4,968.00 | $3,229.20 | 2026-06-15 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $215.94 | — | — | 2025-01-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Hmo | $217.46 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Ppo | $217.46 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | All Commercial Plans | $217.46 | — | — | 2026-04-01 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $217.63 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $217.63 | — | — | 2025-10-31 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | Superior Health Plan | Medicaid | $220.88 | $712.50 | $427.50 | 2026-02-21 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Aetna | CHIP/Medicaid | $222.12 | $1,234.00 | $740.40 | 2026-03-06 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $222.85 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $222.85 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $222.85 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $222.85 | — | — | 2025-07-22 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Both | Medicare A IA J5 | Default | $223.15 | $495.00 | $322.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Both | Blue Cross Blue Shield of IA Wellmark | HMO | — | $495.00 | $322.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Both | Blue Cross Blue Shield of IA Wellmark | Default | — | $495.00 | $322.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Both | Humana | Medicare Advantage | $223.15 | $495.00 | $322.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Both | Aetna Medicare Advantage | Default | $223.15 | $495.00 | $322.00 | 2026-05-29 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $224.38 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | Medicaid | $224.38 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | UHC | Medicaid | $224.58 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $226.54 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $226.54 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Molina | Medicaid | $226.54 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Anthem | Medicaid | $226.54 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | Molina | Medicaid | $226.74 | — | — | 2025-01-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $227.31 | — | — | 2025-07-22 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Both | United Healthcare | Medicare Advantage | $227.70 | $495.00 | $322.00 | 2026-05-29 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem Traditional | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem Traditional | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem Traditional | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $228.90 | — | — | 2026-01-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Hmo | $228.90 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo Pathway Exchange | $228.90 | — | — | 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.