428-4 — Genetic Disorders
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GENETIC DISORDERS (OTHER 428-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/428-4?code_type=OTHER
MLA (9th ed.)
“GENETIC DISORDERS (OTHER 428-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/428-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“GENETIC DISORDERS (OTHER 428-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/428-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48,834–$280,290 (25th–75th percentile) across 11 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 428-4 — 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 |
|---|---|---|---|---|---|---|---|
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Inpatient | Pa | Health & Wellness Chc | $42,984.00 | — | — | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Inpatient | Health | Partners Medicaid | $45,850.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Community Care Medicaid | Mco Community Care Family Care | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Dean Health Plan Medicaid | Mco Deancare | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Anthem Medicaid | Mco Anthem | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Icare Medicaid | Mco Icare | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Mercy Care Medicaid | Mco Mercycare | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | My Choice Medicaid | Mco Hmo My Choice | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Inpatient | United Healthcare Medicaid | Mco United Healthcare | $47,664.02 | — | — | 2026-05-06 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Bcbs | Healthy Blue | $48,834.46 | — | — | 2026-05-14 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Bcbs | Healthy Blue | $48,834.46 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Medicaid | Medicaid | $48,834.46 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Medicaid | Medicaid | $48,834.46 | — | — | 2026-05-14 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Absolute Total Care | Medicaid | $50,299.50 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Absolute Total Care | Medicaid | $50,299.50 | — | — | 2026-05-14 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Molina | Medicaid | $51,276.18 | — | — | 2026-05-14 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Select Health | Medicaid | $51,276.18 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Molina | Medicaid | $51,276.18 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Select Health | Medicaid | $51,276.18 | — | — | 2026-05-14 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Inpatient | Geisinger | Medicaid | $54,573.00 | — | — | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Inpatient | Pa | Health & Wellness Chc | $56,266.00 | — | — | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Inpatient | Health | Partners Medicaid | $60,019.00 | — | — | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Inpatient | Keystone | First Medicaid | $68,343.00 | — | — | 2026-05-08 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Bcbs | Healthy Blue | $69,434.25 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Bcbs | Healthy Blue | $69,434.25 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Medicaid | Medicaid | $69,434.25 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Medicaid | Medicaid | $69,434.25 | — | — | 2026-05-13 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Inpatient | Geisinger | Medicaid | $71,436.00 | — | — | 2026-05-08 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Absolute Total Care | Medicaid | $71,517.28 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Absolute Total Care | Medicaid | $71,517.28 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Select Health | Medicaid | $71,517.28 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Select Health | Medicaid | $71,517.28 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Molina | Medicaid | $72,905.97 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Molina | Medicaid | $72,905.97 | — | — | 2026-05-13 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Inpatient | Upmc | Medicaid | $75,428.00 | — | — | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Inpatient | United | Healthcare Community | $77,467.00 | — | — | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Inpatient | United | Healthcare Community | $77,467.00 | — | — | 2026-05-08 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Bcbs | Healthy Blue | $78,258.35 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Medicaid | Medicaid | $78,258.35 | — | — | 2026-05-13 | MRF ↗ |
| METHODIST HOSPITALS INC Inpatient | Managed Health Services | Indiana Hmo Medicaid | $78,604.34 | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITALS INC Inpatient | Indiana Medicaid | Traditional | $78,604.34 | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITALS INC Inpatient | Anthem | Indiana Hmo Medicaid | $78,604.34 | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITALS INC Inpatient | United Healthcare | Indiana Hmo Medicaid | $78,604.34 | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITALS INC Inpatient | Caresource | Indiana Hmo Medicaid | $78,604.34 | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITALS INC Inpatient | Humana | Indiana Hmo Medicaid | $78,604.34 | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Inpatient | Keystone | First Medicaid | $80,865.00 | — | — | 2026-05-08 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Select Health | Medicaid | $82,171.27 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Molina | Medicaid | $82,171.27 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Absolute Total Care | Medicaid | $89,997.10 | — | — | 2026-05-13 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Inpatient | Upmc | Medicaid | $98,736.00 | — | — | 2026-05-08 | MRF ↗ |
| Lac Harbor-ucla Medical Center Inpatient | [Medi-Cal Managed Care] | [Kaiser] | $280,290.44 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [Kaiser] | $280,290.44 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [Kaiser] | $280,290.44 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Inpatient | [Medi-Cal Managed Care] | [Kaiser] | $308,319.48 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $350,363.05 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $350,363.05 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $350,363.05 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $350,363.05 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $353,165.95 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $353,165.95 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $353,165.95 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $353,165.95 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $353,165.95 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $353,165.95 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $364,377.57 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $364,377.57 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $364,377.57 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $364,377.57 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Inpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $364,377.57 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Inpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $386,800.81 | — | — | 2026-05-09 | MRF ↗ |