80356 — Heroin Metabolite
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEROIN METABOLITE (CPT 80356) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/80356?code_type=CPT
MLA (9th ed.)
“HEROIN METABOLITE (CPT 80356) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/80356?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HEROIN METABOLITE (CPT 80356) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/80356?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19–$114 (25th–75th percentile) across 1,836 hospitals · 4,060 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 80356 — 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
$19
$52 typical
$114
The middle 50% of negotiated facility rates for this procedure, measured across 1,836 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $52 |
| Likely subtotal | $52 |
Facility charge (no separate professional fee)
$52
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 $19–$114.
- 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 Jefferson General Hospital Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICARE [9006] | HUMANA ADVANTAGE PPO [900600] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICARE [9006] | HUMANA LCMC MEDICARE ADV [900604] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | WC LWCC [5004] | WC LWCC [500400] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VANTAGE [1071] | VANTAGE HEALTH COMMERCIAL [107100] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON [350900] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICARE [9006] | HUMANA OCHSNER MEDICARE ADV HMO [900603] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | BLUE CROSS MEDICARE [9004] | BLUE CROSS ANTHEM HEALTH [900400] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | COVENTRY [1004] | COVENTRY GENERIC [100401] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | ENVOLVE VISION PLAN [303009] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | BAYOU MEDICAL MANAGEMENT [1119] | BAYOU MEDICAL MANAGEMENT [111900] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICARE [9006] | HUMANA GOLD PLUS DIABETES AND HEART [900606] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICARE [9006] | HUMANA GOLD PLUS HMO [900602] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | FIRST HEALTH NETWORK [1066] | MAIL HANDLERS BEN PLA [106600] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTHCARE MEDICARE [9009] | UNITED HEALTHCARE DUAL COMPLETE [900903] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | OPTUM HEALTH BEHAVIORAL SOLUTIONS [1061] | OPTUM HEALTH (BEHAVIORAL HEALTH) [106100] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | PPO PLUS LLC [1069] | PPO PLUS LLC [106901] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | BHO | — | — | — | 2026-04-27 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH [350100] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY-PSYCH [350501] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON - PSYCH [350901] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | BLUE CROSS MEDICARE [9004] | BLUE CROSS OUT OF STATE MEDICARE [900401] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | LSUFIRST [1043] | LSUFIRST [104300] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | MISSISSIPPI UHC MEDICAID [350502] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TULANE UNIVERSITY [1127] | NFL TRUST PROGRAM - TULANE [112701] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | UNITED HEALTH COMMUNITY-PSYCH [340005] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | MEDICAID INPATIENT ONLY [300012] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AMBETTER [1120] | AMBETTER - MAGNOLIA [112002] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | LCMC HOSPICE [1108] | HOSPICE COMPASSUS [110802] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA [100200] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TULANE ATHLETIC DEPARTMENT [1128] | TU ATHLETE ORTHOPEDIC [112800] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VETERAN'S ADMINISTRATION [8003] | VA CONSOLIDATED FEE UNIT [800300] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | PEOPLES HEALTH MEDICARE [9007] | PEOPLES HEALTH [900700] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HUMANA MEDICARE [9006] | HUMANA CHOICE PPO [900601] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTHCARE MEDICARE [9009] | UNITED HLTH COMMUNITY PLAN MEDICARE [900902] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTHCARE MEDICARE [9009] | OXFORD HEALTH PLAN [900900] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Caresource | Medicaid | — | $151.00 | $125.33 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $205.00 | $174.25 | 2025-01-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | DIAGNOSTIC MANAGEMENT AFFILIATES [1118] | DIAGNOSTIC MANAGEMENT AFFILIATES [111800] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HEALTHY BLUE MEDICARE [9014] | HEALTHY BLUE DUAL ADVANTAGE (HMO D-SNP) [900140] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | MEDICAID PSYCH-MAGELLAN [300014] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | PPO PLUS LLC [1069] | KEY BENEFIT ADMIN [106900] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE ADVANTAGE [9000] | MEDICARE ADVANTAGE GENERIC [900000] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE LOUISIANA [350200] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | WELLCARE MEDICARE [9011] | WELLCARE [901100] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID MANAGED CARE [3300] | UNITED HEALTH COMMUNITY [330005] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID MANAGED CARE [3300] | AMERI GROUP LA [330001] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $194.00 | — | 2025-05-02 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID MANAGED CARE [3300] | AETNA BETTER HEALTH [330004] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID MANAGED CARE [3300] | HEALTHY BLUE [330006] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | FIRST HEALTH NETWORK [1073] | FIRST HEALTH [107300] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VANTAGE MEDICARE [9010] | VANTAGE MEDICARE [901000] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY [350500] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | LA HEALTHCARE CONNECTIONS [3504] | ENVOLVE VISION (LHC) [350403] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AETNA BETTER HEALTH-PSYCH [340004] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE-PSYCH [350201] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Mdwise | Medicaid | — | $151.00 | $125.33 | 2025-01-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | MEDICAID [300000] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | LA HEALTHCARE CONNECTIONS-PSYCH [340003] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AMBETTER [1120] | AMBETTER - LHC [112001] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE [900200] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Managed Health Services | Medicaid | — | $151.00 | $125.33 | 2025-01-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID MANAGED CARE [3300] | LA HEALTHCARE CONNECTIONS [330003] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | MEDICAID FORM 18 PE [300001] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VETERAN'S ADMINISTRATION [8003] | TRIWEST WPS VACAA [800301] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH-PSYCH [350101] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | PEOPLES HEALTH MEDICARE [9007] | PEOPLES HEALTH UHC [900701] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid | — | $158.00 | $131.14 | 2025-01-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA ENVOY [100212] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | VETERAN'S ADMINISTRATION [8003] | VA CCN OPTUM [800302] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $194.00 | — | 2025-05-02 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | BLUE ADVANTAGE MEDICARE [9003] | BLUE ADVANTAGE MEDICARE [900300] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | BLUE ADVANTAGE MEDICARE [9003] | HEALTHY BLUE DUAL ADVANTAGE (HMO D-SNP) [900301] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTHCARE MEDICARE [9009] | UNITED HLTH MEDICARE ADVA [900901] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID MANAGED CARE [3300] | AMERIHEALTH CARITAS LA [330002] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $261.00 | $221.85 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $205.00 | $174.25 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $261.00 | $221.85 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | MEDICAID TAKE CHARGE [300003] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-10 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Medicaid | — | $158.00 | $131.14 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-10 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERIHEALTH CARITAS LA-PSYCH [340002] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-10 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | THE HEALTH PLAN [100210] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AUDUBON NATURE HEALTH PLAN [1126] | AUDUBON NATURE HEALTH PLAN [112601] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA-PSYCH [350301] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS-PSYCH [350401] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-10 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Anthem | Medicaid | — | $151.00 | $125.33 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $228.45 | $114.22 | 2024-12-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | FH | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | LA MEDICAID EMERGENT (CONIFER USE ONLY) [300016] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UHC | Medicaid | — | $158.00 | $131.14 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | GNOCHC [300005] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS [350400] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | HMO MA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | PPO MA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID [3000] | MEDICAID SPENDDOWN [300015] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | — | $158.00 | $131.14 | 2025-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $194.00 | — | 2025-05-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | HMOOAP | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | UHC | Medicaid | — | $151.00 | $125.33 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $194.00 | — | 2025-05-02 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA [1001] | AETNA [100100] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERI GROUP LA-PSYCH [340001] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA [1001] | CHRISTIAN BROTHERS [100106] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TULANE UNIVERSITY [1127] | CENTER FOR BRAIN HEALTH - TULANE [112702] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | AETNA [1001] | AETNA GENERIC [100103] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $158.00 | $131.14 | 2025-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | A P W U [100207] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | LA HEALTHCARE CONNECTIONS [3504] | AMBETTER COMMERCIAL [350405] | — | $254.00 | $35.56 | 2026-03-25 | MRF ↗ |
| East Jefferson General Hospital Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $254.00 | $35.56 | 2026-03-25 | 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.