81227 — Cyp2c9 Gene Com Variants
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CYP2C9 GENE COM VARIANTS (HCPCS 81227) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81227?code_type=HCPCS
MLA (9th ed.)
“CYP2C9 GENE COM VARIANTS (HCPCS 81227) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81227?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CYP2C9 GENE COM VARIANTS (HCPCS 81227) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81227?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $175–$432 (25th–75th percentile) across 2,094 hospitals · 4,483 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81227 — 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
$175
$198 typical
$432
The middle 50% of negotiated facility rates for this procedure, measured across 2,094 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $198 |
| Likely subtotal | $198 |
Facility charge (no separate professional fee)
$198
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 $175–$432.
- 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,336.25 | $668.12 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $743.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $743.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $743.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,336.25 | $668.12 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $743.00 | — | 2025-05-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $886.00 | — | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,206.00 | $783.90 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,206.00 | $783.90 | 2026-06-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $205.06 | $133.29 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | 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 | BCBS TRADITIONAL | $1.00 | $378.00 | $283.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $378.00 | $283.50 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SPP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $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 | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $378.00 | $283.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $176.00 | $132.00 | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $922.00 | $691.50 | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $176.00 | $132.00 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA QPIC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $176.00 | $132.00 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $378.00 | $283.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 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 TRADITIONAL | $1.00 | $176.00 | $132.00 | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $205.06 | $133.29 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $378.00 | $283.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $176.00 | $132.00 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,059.00 | $794.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $1,206.00 | $783.90 | 2026-06-15 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $815.00 | — | 2025-06-28 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $2.65 | $100.00 | — | 2026-08-17 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.15 | $302.40 | $302.40 | 2026-04-24 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $138.60 | $41.58 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $138.60 | $41.58 | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $3.55 | $118.27 | $118.27 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $3.55 | $118.27 | $118.27 | 2026-07-15 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $4.00 | — | — | 2026-02-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $205.06 | $133.29 | 2025-11-26 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $4.30 | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $4.56 | $56.99 | $34.19 | 2026-02-21 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $4.65 | $930.00 | $930.00 | 2026-06-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $205.06 | $133.29 | 2025-11-26 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $212.00 | $116.60 | 2026-03-31 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $5.07 | $597.00 | $304.47 | 2025-01-10 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap | $5.10 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $5.24 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $5.24 | — | — | 2024-10-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $6.27 | $56.99 | $34.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $6.27 | $56.99 | $34.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $6.27 | $56.99 | $34.19 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $6.27 | $56.99 | $34.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $6.27 | $56.99 | $34.19 | 2026-02-21 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $6.45 | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | United Healthcare | Commercial (Select CO) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Evernorth Behavioral Health | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Aetna Better Health of Kansas | Medicaid (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Integrated Health Plan | Commercial (All Contracted Plans) | $6.45 | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Colorado Access | CHP+ | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $43.00 | $27.95 | 2026-04-17 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | GHI EMBLEM HEALTH [5122] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KESSLER INSTITUTE FOR REHAB [5166] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | GENERIC COMMERCIAL [5015] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MUTUAL OF OMAHA [5195] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | GENERIC NO FAULT [5017] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CLAIMDOC [5434] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | OUT OF COUNTRY INSURANCE PLAN [5215] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | WORK MED [5271] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BANKERS LIFE & CASUALTY SUPPLEMENTAL [5058] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | THE HEALTH PLAN [5451] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CONCERN NON EMPLOYEE [5086] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | UNITED AMERICAN MEDICARE SUPPLEMENTAL [5255] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $6.50 | $65.00 | $37.12 | 2026-02-28 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CONTINENTAL CASUALTY [5093] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HEALTH NET [5137] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CHUBB HEALTH [5073] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | RUNNELLS SPECIALIZED HOSPITAL [5233] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BOLLINGER [5065] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $6.50 | $65.00 | $37.12 | 2026-02-28 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MAGELLAN [5176] | MMC COMMERCIAL OTHER | $6.50 | $15,527.00 | $6,359.22 | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $6.51 | $930.00 | $930.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $7.12 | $930.00 | $930.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $7.16 | $930.00 | $930.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $7.16 | $930.00 | $930.00 | 2026-06-05 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL 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 ↗ |
| BARTOW REGIONAL MEDICAL CENTER 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 ↗ |
| ST JOSEPHS HOSPITAL 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 ↗ |
| MORTON PLANT HOSPITAL 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 ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Molina | Medicare Hmo | $7.38 | $41.00 | $24.60 | 2026-08-01 | MRF ↗ |
| MORTON PLANT 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 ↗ |
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.