80355 — Gabapentin Non-blood
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GABAPENTIN NON-BLOOD (CPT 80355) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/80355?code_type=CPT
MLA (9th ed.)
“GABAPENTIN NON-BLOOD (CPT 80355) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/80355?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“GABAPENTIN NON-BLOOD (CPT 80355) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/80355?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14–$100 (25th–75th percentile) across 1,751 hospitals · 3,418 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 80355 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$14
$35 typical
$100
The middle 50% of negotiated facility rates for this procedure, measured across 1,751 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $35 |
| Likely subtotal | $35 |
Facility charge (no separate professional fee)
$35
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $14–$100.
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL|HUMANA|MULTIPLAN|CDPHP COMMERCIAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-10 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS GOLD [14502] | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL|HUMANA|MULTIPLAN|CDPHP COMMERCIAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Managed Health Services | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|MH OPTUM MEDICARE|CDPHP MEDICARE HMO | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS OPTION [14503] | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | UHC | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MAGNACARE [115] | MAGNACARE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $15.00 | — | 2025-05-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-10 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP GOLD PPO | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DENTAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|DENTAL BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS GOLD [14502] | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | HMO MA | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | FH | — | — | — | 2026-03-10 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $64.90 | $32.45 | 2024-12-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UHC | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Managed Health Services | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-12 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $317.00 | $269.45 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $15.00 | — | 2025-05-02 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $15.00 | — | 2025-05-02 | MRF ↗ |
| UNITY HOSPITAL Inpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Mdwise | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD PPO | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD HMO | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DENTAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|DENTAL BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Caresource | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MAGNACARE [115] | MAGNACARE | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS [14501] | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Aetna | COMM | — | — | — | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $15.00 | — | 2025-05-02 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $317.00 | $269.45 | 2025-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | HMOOAP | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-10 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $317.00 | $269.45 | 2025-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS [14501] | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-10 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-02-13 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Anthem | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | PPO MA | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $64.90 | $32.45 | 2024-12-15 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Caresource | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Cigna | BHO | — | — | — | 2026-04-27 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP GOLD HMO | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | BHO | — | — | — | 2026-04-27 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | UHC | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Mdwise | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Anthem | Medicaid | — | $287.00 | $238.21 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $317.00 | $269.45 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| UNITY HOSPITAL Inpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $88.26 | $70.61 | 2024-12-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | AETNA | 3161_RPTN AETNA 20250701 | — | — | — | 2026-01-01 | MRF ↗ |
| DEKALB COMMUNITY HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | — | — | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | MMC AETNA | $0.03 | $4,162.00 | $1,145.86 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | MMC AETNA | $0.03 | $4,162.00 | $1,145.86 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | STARMARK [5240] | MMC AETNA | $0.03 | $4,162.00 | $1,145.86 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA [5002] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA [5002] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | MMC AETNA | $0.03 | $4,162.00 | $1,145.86 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | $0.03 | $4,162.00 | $1,145.86 | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | CMC AETNA | $0.03 | $4,162.00 | $1,120.16 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $4,162.00 | $1,133.04 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $4,162.00 | $1,074.95 | 2026-01-01 | 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.