81226 — Cyp2d6 Gene Com Variants
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CYP2D6 GENE COM VARIANTS (HCPCS 81226) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81226?code_type=HCPCS
MLA (9th ed.)
“CYP2D6 GENE COM VARIANTS (HCPCS 81226) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81226?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CYP2D6 GENE COM VARIANTS (HCPCS 81226) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81226?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $409–$761 (25th–75th percentile) across 2,126 hospitals · 4,500 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81226 — 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
$409
$471 typical
$761
The middle 50% of negotiated facility rates for this procedure, measured across 2,126 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $471 |
| Likely subtotal | $471 |
Facility charge (no separate professional fee)
$471
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 $409–$761.
- 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,436.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $1,436.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,436.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,436.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $199.76 | $129.84 | 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 | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $199.76 | $129.84 | 2025-11-26 | 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 EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S 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 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $1,065.00 | $798.75 | 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 ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,284.00 | — | 2026-07-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $3,111.00 | $2,022.15 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $3,111.00 | $2,022.15 | 2026-06-15 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,794.00 | $1,345.50 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,794.00 | $1,345.50 | 2026-09-02 | MRF ↗ |
| AdventHealthManchester Inpatient | Republic_Health | HMO_PPO | — | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| AdventHealthManchester Inpatient | United_Healthcare_of_KY | Medicare_HMO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $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 | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Healthcare_of_KY | Medicare_HMO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Center_Care | HMO_PPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,794.00 | $1,345.50 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| AdventHealthManchester Inpatient | Humana_Health_Plan | HMO_POS_PPO_EPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| AdventHealthManchester Inpatient | First_Health_Network | PPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Anthem_BCBS | HMO_PPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,794.00 | $1,345.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| AdventHealthManchester Inpatient | Private_Healthcare_Systems | PPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_POS_PPO_EPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| AdventHealthManchester Inpatient | Multiplan | PPO | $1.00 | $1.16 | $0.58 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $1,722.00 | $1,291.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,127.28 | $450.91 | 2026-09-05 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $1,065.00 | $798.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $3,292.00 | $2,469.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,794.00 | $1,345.50 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $3,111.00 | $2,022.15 | 2026-06-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $1.38 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Non Contracted Commercial | Non Contracted Commercial | $1.42 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $1.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $1.87 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $1.87 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $1.87 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | $2.40 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | $2.40 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | $2.40 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Compass | $2.45 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | United Healthcare | Compass | $2.45 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Medcost | Commercial | $2.55 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Cigna | Commercial | $2.70 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna New Business | Commerical | $2.80 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $2.84 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna | Commercial | $2.90 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $2.90 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $2.90 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | $2.90 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Aetna New Business | Commerical | $2.90 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Medcost | Commercial | $3.00 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Medcost | Commercial | $3.00 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $3.00 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Cigna | Commercial | $3.00 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $3.13 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.15 | $302.40 | $302.40 | 2026-04-24 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $3.20 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Multiplan | Commercial | $3.60 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $3.67 | — | — | 2026-02-19 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana Choicecare | Commercial | $3.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Humana | Commercial | $3.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | $3.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana Choicecare | Commercial | $3.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Humana Choicecare | Commercial | $3.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana | Commercial | $3.75 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Multiplan | Commercial | $4.10 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Multiplan | Commercial | $4.10 | $5.00 | $3.00 | 2026-08-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $1,145.00 | $629.75 | 2026-03-31 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap | $5.10 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $5.24 | $1,803.64 | $1,803.64 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $5.24 | — | — | 2024-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $6.00 | $1,200.00 | $1,200.00 | 2026-06-05 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $6.54 | $218.00 | $218.00 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $6.54 | $218.00 | $218.00 | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna | HMO | $8.00 | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | PPO | $8.00 | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | HMO | $8.00 | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | HMO | $8.00 | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | PPO | $8.00 | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna | HMO | $8.00 | $14.18 | $7.09 | 2024-12-15 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Inpatient | Medica | Medica Pmap | $8.11 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Optimum | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Freedom | Medicare Hmo | $8.20 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $8.40 | $1,200.00 | $1,200.00 | 2026-06-05 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $8.95 | $89.48 | $51.10 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $8.95 | $89.48 | $51.10 | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $199.76 | $129.84 | 2025-11-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $9.18 | $1,200.00 | $1,200.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $9.24 | $1,200.00 | $1,200.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $9.24 | $1,200.00 | $1,200.00 | 2026-06-05 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Careplus | Medicare Hmo | $9.37 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Careplus | Medicare Hmo | $9.37 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Careplus | Medicare Hmo | $9.37 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Careplus | Medicare Hmo | $9.37 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Careplus | Medicare Hmo | $9.37 | $41.00 | $24.60 | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Careplus | Medicare Hmo | $9.37 | $41.00 | $24.60 | 2026-07-15 | 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.