81228 — Cytog Alys Chrml Abnr Cgh
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CYTOG ALYS CHRML ABNR CGH (CPT 81228) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81228?code_type=CPT
MLA (9th ed.)
“CYTOG ALYS CHRML ABNR CGH (CPT 81228) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81228?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CYTOG ALYS CHRML ABNR CGH (CPT 81228) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81228?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $900–$1,788 (25th–75th percentile) across 1,807 hospitals · 3,246 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81228 — 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
$900
$988 typical
$1,788
The middle 50% of negotiated facility rates for this procedure, measured across 1,807 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $988 |
| Likely subtotal | $988 |
Facility charge (no separate professional fee)
$988
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 $900–$1,788.
- 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 | — | — | — | $9,136.40 | $4,568.20 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $9,136.40 | $4,568.20 | 2024-12-15 | 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 ↗ |
| 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 OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 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 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS 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 CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | 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 COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $2,700.00 | $900.00 | 2026-09-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $2,380.00 | $1,666.00 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $2,380.00 | $1,666.00 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $2,380.00 | $1,666.00 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $2,380.00 | $1,666.00 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $2,380.00 | $1,666.00 | 2025-01-01 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $5.61 | — | — | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,389.61 | $1,433.77 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,389.61 | $1,433.77 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $2,389.61 | $1,433.77 | 2026-02-24 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $9.45 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $9.45 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $9.45 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $9.45 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $9.45 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $9.90 | $9,903.75 | $2,971.12 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $9.90 | $9,903.75 | $2,971.12 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9.90 | $9,903.75 | $2,971.12 | 2026-04-01 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $10.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $10.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $10.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $10.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | United Healthcare | Commercial | $11.00 | $2,389.61 | $1,433.77 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $11.00 | $2,389.61 | $1,433.77 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $2,389.61 | $1,433.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Commercial | $11.00 | $2,389.61 | $1,433.77 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | United Healthcare | Commercial | $11.00 | $2,389.61 | $1,433.77 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $12.00 | $2,389.61 | $1,433.77 | 2026-06-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bcbs Indemnity | Bcbs Indemnity | $13.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bcbs Ppo | Bcbs Ppo | $13.84 | — | — | 2026-07-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $14.95 | $249.23 | $249.23 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $14.95 | $249.23 | $249.23 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $14.95 | $249.23 | $249.23 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $14.95 | $249.23 | $249.23 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $14.95 | $249.23 | $249.23 | 2026-03-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem | All Commercial Plans | $19.66 | — | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER AT ALBANY Outpatient | Anthem | Pathway Transitions HMO | $19.66 | $2,019.00 | — | 2024-07-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Pathway of Kentucky | HMO/HPN | $19.66 | — | — | 2026-02-03 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Anthem | Ky Pathway Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | HealthLink | Commercial | $19.66 | — | — | 2026-02-03 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem IN Off Exchange | Commercial | $19.66 | — | — | 2026-02-13 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER AT ALBANY Outpatient | Anthem | Pathway HMO | $19.66 | $2,019.00 | — | 2024-07-01 | MRF ↗ |
| THE MEDICAL CENTER AT SCOTTSVILLE Outpatient | Anthem | Pathway HPN | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER AT ALBANY Outpatient | Anthem | Pathway HPN | $19.66 | $2,019.00 | — | 2024-07-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Blue Traditional | Commercial (Traditional) | $19.66 | — | — | 2026-02-03 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $19.66 | — | — | 2025-06-27 | MRF ↗ |
| THE MEDICAL CENTER AT FRANKLIN Outpatient | Anthem | Pathway Transitions HMO | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Anthem | Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Peace Hospital Outpatient | Anthem | Commercial | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem | HMO/PPO/Traditional | $19.66 | — | — | 2026-02-13 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem Blue Preferred/Blue Access | HMO/HIC/PPO | $19.66 | — | — | 2026-02-03 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Anthem | Ky Pathway Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem IN On Exchange | Commercial | $19.66 | — | — | 2026-02-13 | MRF ↗ |
| UofL Health - Peace Hospital Outpatient | Anthem | Pathways Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER AT FRANKLIN Outpatient | Anthem | Pathway HPN | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER AT FRANKLIN Outpatient | Anthem | Blue Traditional, Blue Access and Blue Preferred | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | Ky Pathway Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Anthem | PathwayHMO | $19.66 | — | — | 2026-03-01 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Blue Cross Blue Shield Pathway X | HMO | $19.66 | — | — | 2026-09-25 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| CAVERNA MEMORIAL HOSPITAL Outpatient | Anthem | Pathway HPN | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY | Anthem Pathway Ppo | — | $19.66 | $1,917.00 | $1,150.20 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $19.66 | $5,466.19 | $4,099.64 | 2026-07-31 | MRF ↗ |
| ARH OUR LADY OF THE WAY | Anthem Pathway Hmo | — | $19.66 | $1,917.00 | $1,150.20 | 2026-07-31 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Pathway Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem Hpn Other Commercial Plan | $19.66 | — | — | 2026-04-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Pathway Hmo | — | $19.66 | $6,450.00 | $3,870.00 | 2026-08-01 | MRF ↗ |
| THE MEDICAL CENTER AT FRANKLIN Outpatient | Anthem | Pathway HMO | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Medicaid Kentucky | — | $19.66 | $6,450.00 | $3,870.00 | 2026-08-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | HMO | $19.66 | — | — | 2026-09-25 | MRF ↗ |
| ARH OUR LADY OF THE WAY | Anthem Transition | — | $19.66 | $1,917.00 | $1,150.20 | 2026-07-31 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Pathway Ppo | — | $19.66 | $6,450.00 | $3,870.00 | 2026-08-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | PPO | $19.66 | — | — | 2026-09-25 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Medicaid Kentucky | — | $19.66 | $6,580.00 | $3,948.00 | 2026-08-01 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM INDIV ON/OFF | ANTHEM INDIV ON/OFF | $19.66 | $5,466.19 | $4,099.64 | 2026-07-31 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Transition | — | $19.66 | $6,450.00 | $3,870.00 | 2026-08-01 | MRF ↗ |
| CAVERNA MEMORIAL HOSPITAL Outpatient | Anthem | Pathway HMO | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| CAVERNA MEMORIAL HOSPITAL Outpatient | Anthem | Blue Traditional, Blue Access and Blue Preferred | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $19.66 | — | — | 2026-06-03 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Pathway Ppo | — | $19.66 | $6,580.00 | $3,948.00 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Ppo/Hmo | $19.66 | — | — | 2026-08-01 | MRF ↗ |
| CAVERNA MEMORIAL HOSPITAL Outpatient | Anthem | Pathway Transitions HMO | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem Uk Health Plan Other Commercial Plan | $19.66 | — | — | 2026-04-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Pathway Hmo | — | $19.66 | $6,580.00 | $3,948.00 | 2026-08-01 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $19.66 | $5,466.19 | $4,099.64 | 2026-07-31 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Blue Cross | — | $19.66 | $6,580.00 | $3,948.00 | 2026-08-01 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem KY Pathway | HPN/PPO | $19.66 | — | — | 2026-02-13 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Transition | — | $19.66 | $6,580.00 | $3,948.00 | 2026-08-01 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Blue Cross | — | $19.66 | $6,450.00 | $3,870.00 | 2026-08-01 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem KY Pathway | HMO | $19.66 | — | — | 2026-02-09 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $19.66 | — | — | 2026-04-01 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem | HMO/PPO/Traditional | $19.66 | — | — | 2026-02-09 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $19.66 | — | — | 2026-08-01 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $19.66 | — | — | 2025-04-24 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem IN Off Exchange | Commercial | $19.66 | — | — | 2026-02-09 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Anthem | Traditional/HMO/PPO | $19.66 | — | — | 2026-03-01 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem KY Pathway | HPN/PPO | $19.66 | — | — | 2026-02-09 | MRF ↗ |
| THE MEDICAL CENTER AT SCOTTSVILLE Outpatient | Anthem | Blue Traditional, Blue Access and Blue Preferred | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $19.66 | — | — | 2025-04-24 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Ky Pathway Ppo/Hmo | $19.66 | — | — | 2026-08-01 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Anthem IN On Exchange | Commercial | $19.66 | — | — | 2026-02-09 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Ppo/Hmo | $19.66 | — | — | 2026-08-01 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY OutpatientFacility | Anthem KY Pathway | HMO | $19.66 | — | — | 2026-02-13 | MRF ↗ |
| THE MEDICAL CENTER AT SCOTTSVILLE Outpatient | Anthem | Pathway Transitions HMO | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $19.66 | — | — | 2026-06-03 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM PATH/HPN | ANTHEM PATH/HPN | $19.66 | $5,466.19 | $4,099.64 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo Exchange | $19.66 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $19.66 | — | — | 2025-06-27 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $19.66 | $5,466.19 | $4,099.64 | 2026-07-31 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Traditional | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Ppo/Hmo | — | $19.66 | $6,580.00 | $3,948.00 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Medicaid Kentucky | — | $19.66 | $6,580.00 | $3,948.00 | 2026-07-31 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Anthem | Ppo/Hmo | $19.66 | — | — | 2026-07-15 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Transition | — | $19.66 | $6,580.00 | $3,948.00 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Blue Cross | — | $19.66 | $6,580.00 | $3,948.00 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Pathway | — | $19.66 | $6,580.00 | $3,948.00 | 2026-07-31 | MRF ↗ |
| ARH OUR LADY OF THE WAY | Anthem Blue Cross | — | $19.66 | $1,917.00 | $1,150.20 | 2026-07-31 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | All Commercial Plans | $19.66 | — | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER AT SCOTTSVILLE Outpatient | Anthem | Pathway HMO | $19.66 | $2,019.00 | — | 2026-04-01 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Blue Cross Blue Shield Pathway X | PPO | $19.66 | — | — | 2026-09-25 | MRF ↗ |
| THE MEDICAL CENTER AT ALBANY Outpatient | Anthem | Blue Traditional, Blue Access and Blue Preferred | $19.66 | $2,019.00 | — | 2024-07-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $20.48 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $20.48 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $20.48 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $20.48 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $20.97 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $20.97 | — | — | 2025-06-27 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO | $22.00 | $9,224.25 | $4,612.12 | 2024-12-15 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MGMCD | $22.06 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MCDCHIPBH | $22.06 | $157.56 | $157.56 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $23.43 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $24.00 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Evernorth | COMM | $24.00 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Hometown Health Providers | HMO/PPO/POS | $24.00 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | MERITAIN HEALTH | AETNA ALL OTHER PLANS | $24.09 | $62.40 | $31.20 | 2026-03-31 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | AETNA | AETNA ALL OTHER PLANS | $24.09 | $62.40 | $31.20 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $24.78 | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $24.89 | $2,931.00 | $1,494.81 | 2025-01-10 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $24.90 | $495.00 | $346.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $24.90 | $495.00 | $346.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $24.90 | $495.00 | $346.50 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $24.90 | $495.00 | $346.50 | 2026-05-27 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | PPO | $24.96 | $53.00 | $43.46 | 2025-11-26 | 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.