0313U — Oncology (pancreas), DNA And Mrna Next-generation Sequencing Analysis Of 74 Genes And Analysis Of Cea (ceacam5) Gene Expression, Pancreatic Cyst Fluid, Algorithm Reported As A Categorical Result (ie,
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, (CPT 0313U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0313U?code_type=CPT
MLA (9th ed.)
“Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, (CPT 0313U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0313U?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, (CPT 0313U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0313U?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,600–$4,633 (25th–75th percentile) across 822 hospitals · 1,061 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0313U — 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 |
|---|---|---|---|---|---|---|---|
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $18.90 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $18.90 | $105.00 | $63.00 | 2026-03-06 | 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 ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | $33.00 | $11,772.00 | $2,943.00 | 2025-10-14 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $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 ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $36.75 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $36.75 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $37.80 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $37.80 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $40.95 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $40.95 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $41.16 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $41.16 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $42.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $45.67 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $45.67 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Aetna | Exchange | $48.00 | $11,772.00 | $2,943.00 | 2025-10-14 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $50.09 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $50.09 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | $51.00 | $11,772.00 | $2,943.00 | 2025-10-14 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $52.50 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $52.50 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Home Depot Employer Group | $55.65 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Cigna | New Business ASO | $55.65 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Home Depot Employer Group | $55.65 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Neighborhood Network | $55.65 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Cigna | New Business ASO | $55.65 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Neighborhood Network | $55.65 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross Lanier | Commercial | $57.75 | — | — | 2026-07-15 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $57.75 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $57.75 | — | — | 2026-07-15 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Geisinger | Medicaid/CHIP | $57.75 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Geisinger | Medicaid/CHIP | $57.75 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $57.75 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Coventry/First Health | Commercial | $73.50 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Coventry/First Health | Commercial | $73.50 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $81.36 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $81.36 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $81.36 | — | — | 2026-03-18 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Preferred Healthcare System | PPO | $84.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Preferred Healthcare System | PPO | $84.00 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Humana | Commercial | $89.25 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Private Health Care Systems | PPO | $89.25 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Humana | Commercial | $89.25 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Private Health Care Systems | PPO | $89.25 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $93.24 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $93.24 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $93.24 | — | — | 2026-03-18 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Multiplan | PPO | $96.60 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Multiplan | PPO | $96.60 | $105.00 | $63.00 | 2026-03-06 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $100.00 | — | — | 2025-01-31 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $101.52 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $101.52 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $101.52 | — | — | 2026-03-18 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $102.60 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $127.20 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $127.20 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $133.65 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $133.65 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $134.55 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $138.00 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $138.15 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $138.15 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $141.30 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $141.30 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $145.05 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $145.05 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $146.55 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $146.55 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $148.35 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $153.90 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $153.90 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $159.60 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $162.90 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $167.70 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $171.15 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $171.15 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $1,875.00 | $937.50 | 2026-05-13 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $176.70 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $176.70 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $177.75 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $177.75 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $179.70 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $180.60 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $180.60 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $184.20 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $184.20 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $187.86 | — | — | 2026-03-18 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $199.93 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $199.93 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $221.10 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $221.10 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $221.10 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $221.10 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $224.85 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $224.85 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $241.65 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $241.95 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $242.66 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $243.00 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $243.00 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $250.05 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $254.10 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $282.60 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $285.62 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $292.50 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $292.50 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Health First | Medicare Advantage - Outpatient | $300.10 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | United HC | Medicare Advantage - Outpatient | $300.10 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | BlueCross | Medicare Advantage - Outpatient | $300.10 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Molina | Medicare Advantage - Outpatient | $306.35 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage - Outpatient | $315.10 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | CarePlus | Medicare Advantage - Outpatient | $315.10 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Baycare | Medicare Advantage - Outpatient | $315.10 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $315.87 | — | — | 2026-04-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $328.11 | — | — | 2026-08-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage OON (MMG) - Outpatient | $330.11 | $1,563.00 | $781.50 | 2025-10-24 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $336.77 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $336.77 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $336.96 | $3,600.00 | $2,160.00 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $336.96 | $3,600.00 | $2,160.00 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $336.96 | $3,600.00 | $2,160.00 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $336.96 | $3,600.00 | $2,160.00 | 2026-04-21 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $352.65 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $352.65 | $1,500.00 | $450.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $352.65 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $352.65 | $1,500.00 | $450.00 | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $353.88 | $3,600.00 | $2,160.00 | 2026-04-21 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $730.05 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $730.05 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $730.05 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $730.05 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $730.05 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $730.05 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $362.67 | $2,355.00 | $1,530.75 | 2026-03-01 | 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.