81175 — Asxl1 Full Gene Sequence
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ASXL1 FULL GENE SEQUENCE (CPT 81175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81175?code_type=CPT
MLA (9th ed.)
“ASXL1 FULL GENE SEQUENCE (CPT 81175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81175?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ASXL1 FULL GENE SEQUENCE (CPT 81175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81175?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $676–$1,203 (25th–75th percentile) across 1,646 hospitals · 2,187 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81175 — 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
$676
$710 typical
$1,203
The middle 50% of negotiated facility rates for this procedure, measured across 1,646 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $710 |
| Likely subtotal | $710 |
Facility charge (no separate professional fee)
$710
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 $676–$1,203.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $0.13 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.13 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $0.13 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $0.13 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | Managed Medicaid | $0.14 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.14 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Molina | Managed Medicaid | $0.14 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | Medicare Advantage HMO | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | Medicare Advantage PPO | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Amerigroup | Medicare Advantage | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Molina | Medicare Advantage | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | American Health | Medicare Advantage | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Whole Health | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cigna | PPO | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | HealthSpring | Medicare Advantage | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | ASA | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Superior Wellcare | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Exchange | $0.38 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cook Childrens | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Molina | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Coventry | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare Options | PPO | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Commercial | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Amerigroup | Managed Medicaid | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cigna | OAP/HMO | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | All Payer | — | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Fort Worth Firefighters | Commercial | $0.44 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | City of Fort Worth | Commercial | $0.47 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cigna | OAP/HMO | $0.55 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Quick Trip | Commercial | $0.60 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Fort Worth Firefighters | Commercial | $0.61 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,099.00 | — | 2026-07-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Quick Trip | Commercial | $0.63 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | PHCS | PPO | $0.70 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cigna | PPO | $0.70 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | ASA | $0.70 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | Coventry | $0.70 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | PHCS | PPO | $0.75 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | HMO | $0.75 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Healthsmart | Commercial | $0.75 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | PPO | $0.84 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Healthsmart | Commercial | $0.84 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Multiplan | Commercial | $0.87 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | USA | MCO | $0.88 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Galaxy | Commercial | $0.88 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | — | — | 2026-05-20 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Traditional | $0.92 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | — | — | 2026-09-02 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cigna | Indemnity | $0.94 | $1.00 | $0.60 | 2026-04-21 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE-RPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE - HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $3,737.00 | $2,802.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $4,904.00 | $3,678.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $4,904.00 | $3,678.00 | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE - PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $4,904.00 | $3,678.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $4,904.00 | $3,678.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $4,904.00 | $3,678.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,297.00 | — | 2025-06-28 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.35 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $3,620.00 | $1,086.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $3,620.00 | $1,086.00 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $3.60 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $3.60 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $3.90 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $3.90 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Freedom Health Care | MGMGR | $3.90 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | PFFS | $3.90 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HIX | $4.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $5.07 | $63.33 | — | 2025-11-10 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $6.61 | — | — | 2026-02-19 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Simply Healthcare | MGMCR | $7.70 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | United | OptionsPPO | $8.20 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Molina | MGMCR | $9.50 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $10.11 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $10.42 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $10.62 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $10.62 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $10.67 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HMOFI | $11.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | HMO/POS | $11.08 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Evolutions Healthcare Systems | PrimeTier1 | $11.50 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $11.50 | $63.33 | — | 2025-11-10 | MRF ↗ |
| CONWAY MEDICAL CENTER Outpatient | Aetna | Commercial | $12.39 | — | — | 2026-11-03 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | ASOEO | $12.50 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $12.75 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Other | BRIGHTON HEALTH | $13.00 | $1,430.00 | $1,417.00 | 2025-11-19 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Molina | HIX | $13.50 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $14.00 | $63.33 | — | 2025-11-10 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Humana | HMO | $14.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Humana | PPO | $14.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $14.50 | $63.33 | — | 2025-11-10 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Cigna | Commercial | $15.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Aetna | ASA | $15.00 | $50.00 | $50.00 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | PRAXIS | MEDICAL & WORKERS COMPENSATION | $15.15 | $63.33 | — | 2025-11-10 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $15.98 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $15.98 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $15.98 | — | — | 2026-03-18 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | United Healthcare | Commercial | $16.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Blue Cross Blue Shield | Commercial | $16.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $16.52 | $63.33 | — | 2025-11-10 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Universal Care Medi-Cal/Caloptima | Universal Care Medi-Cal/Caloptima | $17.35 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Universal Care Healthy Families | Universal Care Healthy Families | $17.35 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Universal Care (Choc Health Alliance) Medi-Cal/Caloptima | Universal Care (Choc Health Alliance) Medi-Cal/Caloptima | $17.35 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Medical Card Systems (MCS) | Commercial | $18.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $18.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $18.31 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $18.31 | — | — | 2026-03-18 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | MAPFRE | Commercial | $19.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $19.94 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $19.94 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $19.94 | — | — | 2026-03-18 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Aetna Global | Commercial | $20.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $20.39 | $63.33 | — | 2025-11-10 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Office Of Refugee Resettlement-Point Comfort | Point Comfort Underwriters Inc | $21.10 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Presbyterian Intercommunity Hospital | Presbyterian Health Physicians/Presbyterian Intercommunity Hosp | $21.10 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna Healthcare Of California | Cigna Healthcare Of California Hmo/Pos In Net | $21.52 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna Healthcare Of California | Cigna Epo/Ppo | $21.52 | $46.88 | $46.88 | 2026-11-02 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Passport | Managed Medicaid | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $135.00 | $27.00 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $135.00 | $27.00 | 2026-02-11 | 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.