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 $289–$835 (25th–75th percentile) across 3,151 hospitals · 9,358 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.
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
$289
$557 typical
$835
The middle 50% of negotiated facility rates for this procedure, measured across 3,151 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $557 |
| Likely subtotal | $557 |
Facility charge (no separate professional fee)
$557
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 $289–$835.
- 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $4,447.91 | $2,223.96 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $394.00 | $334.90 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $394.00 | $334.90 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,447.91 | $2,223.96 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,333.00 | — | 2025-05-02 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $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 ↗ |
| 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 ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $0.03 | $130.00 | $97.50 | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $57.02 | $42.77 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $280.00 | $210.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $57.02 | $42.77 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $280.00 | $210.00 | 2026-09-01 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | BANNER CHOICE - ALL PLANS | BANNER CHOICE - ALL PLANS | $0.32 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $57.02 | $42.77 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $280.00 | $210.00 | 2026-09-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - PPO | $0.49 | $130.00 | $97.50 | 2026-04-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,788.70 | $1,341.53 | 2026-09-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - Promise | $0.49 | $130.00 | $97.50 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,225.00 | — | 2026-07-01 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Office Of Refugee Resettlement-Point Comfort | Point Comfort Underwriters Inc | $0.76 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Presbyterian Intercommunity Hospital | Presbyterian Health Physicians/Presbyterian Intercommunity Hosp | $0.77 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Primecare Medical Group Of Chino Valley | Primecare Medical Group Of Chino Valley Hmo/Pos | $0.77 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna Healthcare Of California | Cigna Epo/Ppo | $0.78 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna Healthcare Of California | Cigna Healthcare Of California Hmo/Pos In Net | $0.78 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | St Joseph Heritage Healthcare | St Joseph Heritage Healthcare Hmo/Pos In Net Sjhap / Sjhmg | $0.90 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | La Salle Medical Associates | La Salle Medical Associates Hmo/Pos In Net | $0.94 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Alpha Care Medical Group | Alpha Care Ipa-Hmo | $0.94 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Bristol Park Medical Group Hmo/Pos In Net | Bristol Park Medical Group Hmo/Pos In Net | $0.94 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Redlands Community Hospital | Redlands Community Hospital-Acute Care Agreement | $0.94 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Greater Newport Physicians | Greater Newport Physicians Hmo/Pos In Net | $0.94 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $3,841.00 | $2,496.65 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $3,841.00 | $2,496.65 | 2026-06-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Monarch Health Plan | Monarch Health Plan | $0.98 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | HEALTH NET/HEALTHY FAMILY/AIM | HEALTH NET/HEALTHY FAMILY/AIM | $1.00 | $5.00 | $3.25 | 2026-07-24 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,547.00 | $1,160.25 | 2026-05-20 | 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA BothFacility | CIGNA | CIGNA PPO | $1.00 | $126.00 | $94.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | 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 Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | $165.00 | $123.75 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,547.00 | $1,160.25 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA BothFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | $126.00 | $94.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | $165.00 | $123.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,547.00 | $1,160.25 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,444.00 | $1,083.00 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | $719.00 | $539.25 | 2026-09-01 | 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 ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,669.80 | $556.60 | 2026-09-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $9,775.24 | $6,353.91 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | $165.00 | $123.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,444.00 | $1,083.00 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,547.00 | $1,160.25 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA BothFacility | CIGNA | CIGNA HMO | $1.00 | $126.00 | $94.50 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $280.00 | $210.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $57.02 | $42.77 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $57.02 | $42.77 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,444.00 | $1,083.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,444.00 | $1,083.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,444.00 | $1,083.00 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,365.00 | $1,023.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $172.65 | $141.57 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,547.00 | $1,160.25 | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $280.00 | $210.00 | 2026-09-01 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Shield Of California Uc Care Ppo | Blue Shield Of California Uc Care Ppo | $1.01 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Epic Management | Epic Management In Network Hmo | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Arta Health Network | Arta Health Network Hmo/Pos In Net | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Affiliated Doctors Of Orange County (Adoc) Hmo/Pos In Net | Affiliated Doctors Of Orange County (Adoc) Hmo/Pos In Net | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Kaiser Foundation Hospitals Hmo | Kaiser Foundation Hospitals Hmo | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Bright Medical Group | Bright Medical Group Hmo/Pos In Net | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Family Choice (Fountain Valley Reg Hosp) | Family Choice (Fountain Valley Reg Hosp) Medi-Cal/Caloptima | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Magellan Health Services | Magellan Health Services Ppo | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Heritage Provider Network | Heritage Provider Network-Hmo | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Magellan Health Services | Magellan Health Services Hmo | $1.02 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | NCA WC [700057] | WC NCA [70005701] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| WYNN HOSPITAL Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $1.06 | $1,179.00 | $707.40 | 2025-01-17 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Prime Care Medical Group | Prime Care Medical Group Hmo/Pos | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Uci Medical Group | Uci Medical Group Hmo/Pos In Net | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Riverside Medical Clinic | Riverside Medical Clinic | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Noble Ama Select/ Pioneer/ Rfk Medical Groups Hmo/Pos In Net | Noble Ama Select/ Pioneer/ Rfk Medical Groups Hmo/Pos In Net | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | St. Joseph Heritage Healthcare Hmo/Pos In Net | St Joseph Heritage Hmo/Pos In Net (St Jude Mg/ St Jude Hap Mhap) | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Memorial Healthcare Ipa Hmo/Pos In Net | Memorial Healthcare Ipa Hmo/Pos In Net | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Monarch Healthcare Ipa | Monarch Healthcare Ipa Hmo/Pos In Net | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Rady Childrens Hospital San Diego | Rady Childrens Hospital San Diego Commercial Hmo | $1.10 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $1.11 | $1.17 | $1.11 | 2026-02-17 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $3,841.00 | $2,496.65 | 2026-06-15 | 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 ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Health Net Hmo/Pos In Net | Health Net Hmo/Pos In Net | $1.14 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Health Net Ppo/Pos Out Net | Health Net Ppo/Pos Out Net** | $1.14 | $1.70 | $1.70 | 2026-07-15 | 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 ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Cross Of California | Blue Cross/Vivity/Pih-Presbyterian Health/Hmo | $1.20 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Shield Of California Hmo/Pos/Ppo | Blue Shield Of California Hmo/Pos/Ppo** | $1.22 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Shield Calpers Ppo | Blue Shield Calpers Ppo | $1.22 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | First Health Affordable Epo/Ppo | First Health Affordable Epo/Ppo** | $1.24 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | 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 | 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 ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-07-08 | 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 | Wellcare | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $1.35 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna | Cigna Behavioral Health (Evernorth Behavioral Health Inc) Hmo | $1.36 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna | Cigna Behavioral Health (Evernorth Behavioral Health, Inc.) Ppo | $1.36 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Multiplan Ppo Fka Bce Emergis Ppo | Multiplan Ppo** | $1.36 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Private Healthcare Systems (Phcs) Epo/Ppo | Private Healthcare Systems (Phcs) Epo/Ppo** | $1.44 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | ALAMEDA ALLIANCE PPO-ALL OTHER PLANS | ALAMEDA ALLIANCE PPO-ALL OTHER PLANS | $1.50 | $5.00 | $3.25 | 2026-07-24 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.51 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.51 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.51 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Private Healthcare Systems (Phcs) Epo/Ppo | Private Healthcare Systems (Phcs) Epo/Ppo** | $1.53 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.55 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL 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 ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Cross Of California | Blue Cross Of California Select Ppo Out Net | $1.62 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.63 | $408.00 | $387.60 | 2026-02-20 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Caloptima Direct | Caloptima Direct | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Aetna Us Healthcare | Aetna Us Healthcare Ppo/Pos Out Net | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Medi-Cal Out Of County-La Care | La Care Medi-Cal Out Of County | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Choc Health Alliance Medi-Cal/Caloptima | Choc Health Alliance Medi-Cal/Caloptima | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Choc Physicians Network (Cpn) Medi-Cal/Caloptima/Healthy Families | Choc Physicians Network (Cpn) Medi-Cal/Caloptima/Healthy Familie | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Monarch Health Plan | Monarch Health Plan/Medi-Cal/Cal Optima | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Inland Empire Health Plan | Iehp Medi-Cal Out Of County-Inland Empire | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Heritage Provider Network | Heritage Provider Network-Medi-Cal | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Kaiser | Medi-Cal Kaiser | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Us Behavioral Health Plan | United Behavioral Health Optum Hmo In Net | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Cross Of California | Blue Cross Of California Ppo/Pos Out Net | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Medicare | Medicare** | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Alpha Care Medical Group | Alpha Care Ipa Medical | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | State Of Ca Medical Assistance Commission Ccs/Medi-Cal | State Of Ca Medical Assistance Commission Ccs/Medi-Cal | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Shield-Triwest-Tricare Programs | Blue Shield-Triwest-Tricare Programs | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Office Of Refugee Resettlement-Point Comfort | Point Comfort Underwriters Inc | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Medi-Cal Out Of County | Medi-Cal Out Of County Medi-Cal | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | La Salle Medical Associates | La Salle Medical Associates Medi-Cal/Healthy Families | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Molina Medical Centers - Medi-Cal | Molina Medi-Cal | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Cross Of California Medi-Cal/Caloptima/Healthy Families | Blue Cross Of California Medi-Cal/Caloptima/Healthy Families | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Health Net Caloptima/Medi-Cal | Health Net Caloptima/Medi-Cal | $1.70 | $1.70 | $1.70 | 2026-07-15 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $1.80 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $1.80 | $3.00 | $2.70 | 2026-07-08 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $1.86 | $62.15 | $62.15 | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $1.86 | $62.15 | $62.15 | 2026-07-15 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $1.95 | $3.00 | $2.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $1.95 | $3.00 | $2.70 | 2026-07-08 | 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 | Veteran's Administration (VA CCN) | VA Network | $2.00 | $408.00 | $387.60 | 2026-02-20 | 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.