81220 — Cftr Gene Com Variants
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CFTR GENE COM VARIANTS (CPT 81220) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81220?code_type=CPT
MLA (9th ed.)
“CFTR GENE COM VARIANTS (CPT 81220) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81220?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CFTR GENE COM VARIANTS (CPT 81220) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81220?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $310–$856 (25th–75th percentile) across 2,571 hospitals · 8,912 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81220 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $4,447.91 | $2,223.96 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $394.00 | $334.90 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $394.00 | $334.90 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $4,447.91 | $2,223.96 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $394.00 | $334.90 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $394.00 | $334.90 | 2025-01-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $0.03 | $130.00 | $97.50 | 2026-04-01 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | AETNA PPO-ALL OTHER PLANS | AETNA PPO-ALL OTHER PLANS | $0.03 | $371.00 | $371.00 | 2026-03-03 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | AETNA HMO | AETNA HMO | $0.03 | $371.00 | $371.00 | 2026-03-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | BANNER CHOICE - ALL PLANS | BANNER CHOICE - ALL PLANS | $0.32 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - Promise | $0.49 | $130.00 | $97.50 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - PPO | $0.49 | $130.00 | $97.50 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | HEALTH NET/HEALTHY FAMILY/AIM | HEALTH NET/HEALTHY FAMILY/AIM | $1.00 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | HEALTH NET/HEALTHY FAMILY/AIM | HEALTH NET/HEALTHY FAMILY/AIM | $1.00 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $1.11 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | AETNA/ETHIX - ALL PLANS | AETNA/ETHIX - ALL PLANS | $1.12 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $1.13 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | FIRST CHOICE (CIGNA) - ALL PLANS | FIRST CHOICE (CIGNA) - ALL PLANS | $1.15 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ALAMEDA ALLIANCE PPO-ALL OTHER PLANS | ALAMEDA ALLIANCE PPO-ALL OTHER PLANS | $1.50 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ALAMEDA ALLIANCE PPO-ALL OTHER PLANS | ALAMEDA ALLIANCE PPO-ALL OTHER PLANS | $1.50 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.51 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.51 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.51 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.55 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.59 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PASSPORT HP HMO - ALL PLANS | PASSPORT HP HMO - ALL PLANS | $1.62 | $6.00 | $4.56 | 2026-03-09 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.63 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $1.80 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $1.95 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.96 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.96 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.00 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.00 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.00 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.00 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.04 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.08 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.12 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.20 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,596.00 | — | 2025-06-28 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | Commercial | $2.33 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CANOPY-ALL OTHER PLANS | CANOPY-ALL OTHER PLANS | $2.55 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Community Health Options | Commercial | $2.55 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CANOPY-ALL OTHER PLANS | CANOPY-ALL OTHER PLANS | $2.55 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | BLUE SHIELD EPPO | BLUE SHIELD EPPO | $2.64 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | BLUE SHIELD EPPO | BLUE SHIELD EPPO | $2.64 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.68 | $57.02 | $57.02 | 2026-03-01 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2.70 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $2.70 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Harvard Pilgrim | Commercial | $2.71 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | Commercial | $2.75 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ANTHEM BC HMO/IFP | ANTHEM BC HMO/IFP | $2.79 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ANTHEM BC HMO/IFP | ANTHEM BC HMO/IFP | $2.79 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | Commercial | $2.79 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | First Health | Commercial | $2.85 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.91 | $62.00 | $62.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.95 | $62.70 | $62.70 | 2026-03-01 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | HEALTHNET COMM - ALL OTHER PLANS | HEALTHNET COMM - ALL OTHER PLANS | $3.02 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | HEALTHNET COMM - ALL OTHER PLANS | HEALTHNET COMM - ALL OTHER PLANS | $3.02 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CIGNA NEW BUS OAP | CIGNA NEW BUS OAP | $3.11 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CIGNA NEW BUS OAP | CIGNA NEW BUS OAP | $3.11 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | SUTTER SELECT (UMR)-ALL PLANS | SUTTER SELECT (UMR)-ALL PLANS | $3.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | SUTTER SELECT (UMR)-ALL PLANS | SUTTER SELECT (UMR)-ALL PLANS | $3.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | BLUE SHIELD HMO | BLUE SHIELD HMO | $3.37 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | BLUE SHIELD HMO | BLUE SHIELD HMO | $3.37 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC DOCTORS PLAN PPO/EP | UHC DOCTORS PLAN PPO/EP | $3.44 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC DOCTORS PLAN PPO/EP | UHC DOCTORS PLAN PPO/EP | $3.44 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $3.49 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $3.49 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PACIFIC HEALTH ALLIANCE EPO | PACIFIC HEALTH ALLIANCE EPO | $3.50 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | STANDFORD HEALTH SERVICES-ALL PLANS | STANDFORD HEALTH SERVICES-ALL PLANS | $3.50 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | STANDFORD HEALTH SERVICES-ALL PLANS | STANDFORD HEALTH SERVICES-ALL PLANS | $3.50 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PACIFIC HEALTH ALLIANCE EPO | PACIFIC HEALTH ALLIANCE EPO | $3.50 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM HEALTH | $3.60 | $18.00 | — | 2025-06-09 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ANTHEM BC FEDERAL EMPLOYEES | ANTHEM BC FEDERAL EMPLOYEES | $3.61 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ANTHEM BC PPO/HPN - ALL OTHER PLANS | ANTHEM BC PPO/HPN - ALL OTHER PLANS | $3.61 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ANTHEM BC PPO/HPN - ALL OTHER PLANS | ANTHEM BC PPO/HPN - ALL OTHER PLANS | $3.61 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ANTHEM BC FEDERAL EMPLOYEES | ANTHEM BC FEDERAL EMPLOYEES | $3.61 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | COUNTY OF SANTA CLARA-ALL PLANS | COUNTY OF SANTA CLARA-ALL PLANS | $3.75 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | COUNTY OF SANTA CLARA-ALL PLANS | COUNTY OF SANTA CLARA-ALL PLANS | $3.75 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | BLUE SHIELD PPO - ALL OTHER PLANS | BLUE SHIELD PPO - ALL OTHER PLANS | $3.90 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | BLUE SHIELD PPO - ALL OTHER PLANS | BLUE SHIELD PPO - ALL OTHER PLANS | $3.90 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC HMO | UHC HMO | $3.96 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC HMO | UHC HMO | $3.96 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CIGNA PPO/HMO-ALL OTHER PLANS | CIGNA PPO/HMO-ALL OTHER PLANS | $4.00 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CIGNA PPO/HMO-ALL OTHER PLANS | CIGNA PPO/HMO-ALL OTHER PLANS | $4.00 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | MENTAL HEALTH NETWORK INC [4052] | MENTAL HEALTH NETWORK INC [405201] | $4.00 | $2,248.00 | $598.00 | 2024-05-13 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PACIFIC FOUNDATION EPO | PACIFIC FOUNDATION EPO | $4.00 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PACIFIC FOUNDATION EPO | PACIFIC FOUNDATION EPO | $4.00 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC SELECT/NAVIGATE/CORE | UHC SELECT/NAVIGATE/CORE | $4.05 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC SELECT/NAVIGATE/CORE | UHC SELECT/NAVIGATE/CORE | $4.05 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH | ANTHEM BLUE PATH | $4.08 | $6.00 | $4.56 | 2026-03-09 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $4.11 | $57.02 | $57.02 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $4.11 | $57.02 | $57.02 | 2026-03-01 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH HPN | ANTHEM BLUE PATH HPN | $4.14 | $6.00 | $4.56 | 2026-03-09 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PREFERRED HEALTH NETWORK-ALL PLANS | PREFERRED HEALTH NETWORK-ALL PLANS | $4.24 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PREFERRED HEALTH NETWORK-ALL PLANS | PREFERRED HEALTH NETWORK-ALL PLANS | $4.24 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PACIFIC HEALTH ALLIANCE PPO-ALL OTHER PLANS | PACIFIC HEALTH ALLIANCE PPO-ALL OTHER PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | MASONIC HOMES PPO-ALL PLANS | MASONIC HOMES PPO-ALL PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | MULTIPLAN PPO-ALL PLANS | MULTIPLAN PPO-ALL PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | INTERPLAN B-2 PPO | INTERPLAN B-2 PPO | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | PACIFIC HEALTH ALLIANCE PPO-ALL OTHER PLANS | PACIFIC HEALTH ALLIANCE PPO-ALL OTHER PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | MULTIPLAN PPO-ALL PLANS | MULTIPLAN PPO-ALL PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CORVEL-ALL PLANS | CORVEL-ALL PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | CORVEL-ALL PLANS | CORVEL-ALL PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | INTERPLAN B-2 PPO | INTERPLAN B-2 PPO | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | MASONIC HOMES PPO-ALL PLANS | MASONIC HOMES PPO-ALL PLANS | $4.25 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC PPO-ALL OTHER PLANS | UHC PPO-ALL OTHER PLANS | $4.32 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | UHC PPO-ALL OTHER PLANS | UHC PPO-ALL OTHER PLANS | $4.32 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | INTERPLAN B-4 PPO-ALL OTHER PLANS | INTERPLAN B-4 PPO-ALL OTHER PLANS | $4.40 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | INTERPLAN B-4 PPO-ALL OTHER PLANS | INTERPLAN B-4 PPO-ALL OTHER PLANS | $4.40 | $5.00 | $3.25 | 2026-02-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRHMO | $4.45 | $57.02 | $57.02 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | MCRPPO | $4.45 | $57.02 | $57.02 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Optimum Healthcare | PFFS | $4.45 | $57.02 | $57.02 | 2026-03-01 | 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.