0497U — Onc Prst8 Mrna Rt-pcr 6genes
Cite this view
HANK Price Transparency. (n.d.). ONC PRST8 MRNA RT-PCR 6GENES (HCPCS 0497U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0497U?code_type=HCPCS
“ONC PRST8 MRNA RT-PCR 6GENES (HCPCS 0497U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0497U?code_type=HCPCS. Accessed .
“ONC PRST8 MRNA RT-PCR 6GENES (HCPCS 0497U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0497U?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,873–$5,345 (25th–75th percentile) across 973 hospitals · 845 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0497U — 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 |
|---|---|---|---|---|---|---|---|
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | VACCN | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.91 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.91 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.91 | — | — | 2026-04-01 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | ALL PRODUCTS | $42.56 | — | — | 2025-12-30 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF SC WI | POS | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF SC WI | POS | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | MHS | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF EAU CLAIRE | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF EAU CLAIRE | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | MHS | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $50.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $50.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | $51.23 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | $51.23 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | MANAGED MEDICAID | $52.49 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | SENTARA | MANAGED MEDICAID | $52.49 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | AETNA | MANAGED MEDICAID | $53.01 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | SENTARA | MANAGED MEDICAID | $53.51 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | ANTHEM | MANAGED MEDICAID | $53.51 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | UNITED | MANAGED MEDICAID | $53.54 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $54.05 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | UNITED | MANAGED MEDICAID | $54.58 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | MOLINA | MANAGED MEDICAID | $55.11 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | MOLINA | MANAGED MEDICAID | $56.19 | — | — | 2026-01-02 | 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 ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | Managed Medicaid | $74.80 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $74.80 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | BC Anthem | Managed Medicaid | $74.80 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | BC Anthem | Managed Medicaid | $74.80 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | Managed Medicaid | $74.80 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $74.80 | — | — | 2025-06-24 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Blue Cross Blue Shield | All Products | $75.95 | — | — | 2025-12-30 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Community Plan - All Products | $76.62 | — | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid Community Plan | $76.62 | — | — | 2026-03-31 | 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 ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Total Care | $78.92 | — | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Molina (Nebraska) | Managed Medicaid | $81.98 | — | — | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $87.53 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $87.53 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $87.53 | — | — | 2026-03-18 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $94.90 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $94.90 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $94.90 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $94.90 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $95.81 | — | — | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $100.31 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $100.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $100.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $109.22 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $109.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $109.22 | — | — | 2026-03-18 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $128.95 | — | — | 2026-04-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $573.20 | — | — | 2025-03-27 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo Pathway Exchange | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $573.20 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $573.20 | — | — | 2025-04-24 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Hmo | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem Hpn Other Commercial Plan | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Anthem | Traditional/HMO/PPO | $573.20 | — | — | 2026-03-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Empire Ppo | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Anthem | PathwayHMO | $573.20 | — | — | 2026-03-01 | MRF ↗ |
| University Of Toledo Medical Center BothFacility | — | — | — | — | — | 2026-03-31 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | All Commercial Plans | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $573.20 | — | — | 2025-04-24 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo Pathway Exchange | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo Exchange | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem Uk Health Plan Other Commercial Plan | $573.20 | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $580.95 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $580.95 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $580.95 | — | — | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $666.16 | — | — | 2026-03-31 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $683.20 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $683.20 | — | — | 2025-08-08 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $852.06 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $852.06 | — | — | 2025-12-23 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WABASH HOSPITAL, INC OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW LAGRANGE HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH OutpatientFacility | Bcbs | Anthem All Commercial Plans | $877.52 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $1,161.90 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $1,161.90 | — | — | 2025-10-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1,316.82 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1,316.82 | — | — | 2026-03-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | Wellpoint | Tenncare Medicaid Managed Care Plan | $1,355.55 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $1,394.28 | — | — | 2025-10-28 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Oxford_741 | All Commercial Products | $1,394.28 | — | — | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_742 | All Commercial Products | $1,394.28 | — | — | 2026-02-02 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $1,394.28 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $1,394.28 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $1,394.28 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $1,394.28 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $1,394.28 | — | — | 2025-10-28 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $1,626.66 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $1,626.66 | — | — | 2026-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $1,626.66 | — | — | 2026-04-30 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,626.66 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $1,626.66 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $1,626.66 | — | — | 2026-04-30 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | United Healthcare | All Products | $1,626.66 | — | — | 2025-10-31 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $1,626.66 | — | — | 2026-04-30 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $1,665.39 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $1,665.39 | — | — | 2025-07-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,818.37 | — | — | 2026-04-14 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Anthem Pathway Standard | Commercial | $1,835.80 | — | — | 2025-11-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,876.08 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,876.08 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,876.08 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,876.08 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,876.08 | — | — | 2026-04-14 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $1,906.97 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $1,906.97 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Cigna | All Commercial Plans | $1,906.97 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | $1,917.14 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Uhc Choice Plus | $1,917.14 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Umr- United Healthcare | $1,917.14 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Umr- United Healthcare | $1,917.14 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | $1,917.14 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Uhc Choice Plus | $1,917.14 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Anthem Pathway Standard | Commercial | $1,923.33 | — | — | 2025-11-01 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,931.08 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Highmark | Highmark Together Blue | $1,931.08 | — | — | 2026-04-14 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Medical Mutual Of Ohio | All Commercial Plans | $1,975.23 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Medical Mutual Of Ohio | Medflex | $1,975.23 | — | — | 2026-04-01 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $1,994.60 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $1,994.60 | — | — | 2025-08-08 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Anthem Pathway Standard | Commercial | $2,002.34 | — | — | 2025-11-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $2,022.48 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2,025.58 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2,025.58 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2,025.58 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $2,025.58 | — | — | 2026-04-17 | 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.