80362 — Opioids & Opiate Analogs 1/2
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPIOIDS & OPIATE ANALOGS 1/2 (CPT 80362) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/80362?code_type=CPT
MLA (9th ed.)
“OPIOIDS & OPIATE ANALOGS 1/2 (CPT 80362) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/80362?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OPIOIDS & OPIATE ANALOGS 1/2 (CPT 80362) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/80362?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27–$131 (25th–75th percentile) across 1,809 hospitals · 3,933 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 80362 — 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
$27
$66 typical
$131
The middle 50% of negotiated facility rates for this procedure, measured across 1,809 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $66 |
| Likely subtotal | $66 |
Facility charge (no separate professional fee)
$66
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 $27–$131.
- 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 |
|---|---|---|---|---|---|---|---|
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Devoted Health Plan | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | HMO MA | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 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 | ASA | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | — | 2026-03-12 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $10.00 | $8.50 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | PPO MA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | BHO | — | — | — | 2026-04-27 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $317.00 | $269.45 | 2025-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | 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 ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | HMOOAP | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | FH | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | PPO MA | — | — | — | 2026-03-10 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $38.37 | $19.18 | 2024-12-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-10 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $10.00 | $8.50 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $38.37 | $19.18 | 2024-12-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $317.00 | $269.45 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | — | 2026-03-12 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Anthem Blue Access | Commercial | — | $258.50 | $180.95 | 2026-09-21 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | — | — | — | 2026-03-10 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Aetna | COMM | — | $74.26 | $74.26 | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | — | 2026-03-12 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Cigna | BHO | — | — | — | 2026-04-27 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | — | 2026-03-12 | 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 ↗ |
| Ascension Saint Thomas Hickman Both | AETNA | 3161_RPTN AETNA 20250701 | — | — | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA HEALTHREACH PREFERRED [310203] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | TRUSTMARK AETNA [310335] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | SRC/AETNA AFF HEALTH CH/PPO INDEM [310270] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS MANAGED CHOICE [310201] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | HEALTHSCOPE AETNA [310320] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | MERITAIN AETNA [310325] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Aetna | Aetna | $0.03 | $184.00 | $44.16 | 2026-07-15 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA OSU STUDENT HEALTH INSRNCE [310206] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | NIPPON AETNA [310330] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | 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 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | STARMARK [5240] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA TRADITIONAL CHOICE INDEMNIT [310245] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH NETWORK OPTION [310290] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310340] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | STARMARK [5240] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | Meritain | $0.03 | $1,673.21 | $1,673.21 | 2026-03-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS ELECT CHOICE [310200] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| ALAMEDA HOSPITAL BothFacility | AETNA [1001001] | Aetna | $0.03 | $3.86 | $1.93 | 2026-03-16 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | $1,673.21 | $1,673.21 | 2026-03-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH FUND [310250] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | COMM | $0.03 | $1,673.21 | $1,673.21 | 2026-03-01 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA HMO QPOS/SELECT [310215] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna | Commercial | $0.03 | $36.00 | $27.00 | 2025-05-16 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Aetna | Rental Network | $0.03 | — | — | 2026-07-19 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| CLINTON REGIONAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| San Leandro Hospital BothFacility | AETNA [1001001] | Aetna | $0.03 | $3.86 | $1.93 | 2026-03-16 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | AETNA OPEN CHOICE PPO [310210] | $0.03 | $730.00 | $474.50 | 2025-01-22 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA [5002] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA [5002] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Aetna | Hmo/Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Aetna | Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | MMC AETNA | $0.03 | $1,566.00 | $178.44 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $1,566.00 | $170.46 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Aetna | Hmo/Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $1,566.00 | $177.87 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | CMC AETNA | $0.03 | $1,566.00 | $175.31 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Aetna | Hmo/Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna | OPN Commercial | $0.03 | $36.00 | $27.00 | 2025-05-16 | MRF ↗ |
| BERGER HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310310] | $0.03 | $730.00 | $474.50 | 2025-01-22 | 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.