81249 — G6pd Full Gene Sequence
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). G6PD FULL GENE SEQUENCE (CPT 81249) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81249?code_type=CPT
MLA (9th ed.)
“G6PD FULL GENE SEQUENCE (CPT 81249) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81249?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“G6PD FULL GENE SEQUENCE (CPT 81249) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81249?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $600–$1,022 (25th–75th percentile) across 1,750 hospitals · 3,212 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81249 — 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
$600
$735 typical
$1,022
The middle 50% of negotiated facility rates for this procedure, measured across 1,750 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $735 |
| Likely subtotal | $735 |
Facility charge (no separate professional fee)
$735
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 $600–$1,022.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Molina | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cook Childrens | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | ASA | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Molina | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | All Payer | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Parkland | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | American Health | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Superior Wellcare | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | Medicare Advantage HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | City of Fort Worth | Commercial | $0.54 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Fort Worth Firefighters | Commercial | $0.54 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | Medicare Advantage PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Aetna | Coventry | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cigna | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Amerigroup | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | All Payer | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Aetna | ASA | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Blue Cross Blue Shield | HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Humana | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Blue Cross Blue Shield | Traditional | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cigna | OAP/HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | Medicare Advantage HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Molina | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Cigna | OAP/HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Molina | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare Options | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Blue Cross Blue Shield | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Aetna | Whole Health | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Exchange | $0.54 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Whole Health | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | Medicare Advantage PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Commercial | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Amerigroup | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | United Healthcare | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Amerigroup | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Superior Wellcare | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | HealthSpring | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Aetna | Coventry | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare Options | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | HealthSpring | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | American Health | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $1.43 | $0.86 | 2026-04-21 | 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 | $2,090.00 | — | 2026-07-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Fort Worth Firefighters | Commercial | $0.63 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | City of Fort Worth | Commercial | $0.67 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cigna | OAP/HMO | $0.79 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Quick Trip | Commercial | $0.86 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Fort Worth Firefighters | Commercial | $0.87 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | — | — | 2026-05-20 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Quick Trip | Commercial | $0.90 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | — | — | 2026-09-02 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | PHCS | PPO | $0.99 | $1.43 | $0.86 | 2026-04-21 | 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 TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,371.00 | $1,028.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | ASA | $1.00 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,371.00 | $1,028.25 | 2026-09-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | Coventry | $1.00 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE - PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE-RPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE - 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,371.00 | $1,028.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cigna | PPO | $1.00 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,371.00 | $1,028.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,371.00 | $1,028.25 | 2026-09-01 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | 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 TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Quick Trip | Commercial | $1.02 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Healthsmart | Commercial | $1.07 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | PHCS | PPO | $1.07 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | HMO | $1.08 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | PPO | $1.19 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | PHCS | PPO | $1.20 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Healthsmart | Commercial | $1.20 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Healthsmart | Commercial | $1.20 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Multiplan | Commercial | $1.24 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Multiplan | Commercial | $1.24 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Galaxy | Commercial | $1.26 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | USA | MCO | $1.26 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | USA | MCO | $1.26 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Galaxy | Commercial | $1.26 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Blue Cross Blue Shield | Traditional | $1.31 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Cigna | Indemnity | $1.35 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Cigna | Indemnity | $1.35 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,798.00 | — | 2025-06-28 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $3,210.00 | $963.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $3,210.00 | $963.00 | 2026-09-21 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $763.00 | $419.65 | 2026-03-31 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Kaiser | Medi-Cal Kaiser | $8.20 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Universal Care Medi-Cal/Caloptima | Universal Care Medi-Cal/Caloptima | $8.67 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Universal Care Healthy Families | Universal Care Healthy Families | $8.67 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Universal Care (Choc Health Alliance) Medi-Cal/Caloptima | Universal Care (Choc Health Alliance) Medi-Cal/Caloptima | $8.67 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Presbyterian Intercommunity Hospital | Presbyterian Health Physicians/Presbyterian Intercommunity Hosp | $10.55 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Altamed Health Services | Altamed Health Services | $10.55 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Office Of Refugee Resettlement-Point Comfort | Point Comfort Underwriters Inc | $10.55 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Alpha Care Medical Group | Alpha Care Ipa Medical | $10.55 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna Healthcare Of California | Cigna Epo/Ppo | $10.76 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Cigna Healthcare Of California | Cigna Healthcare Of California Hmo/Pos In Net | $10.76 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | St Joseph Heritage Healthcare | St Joseph Heritage Healthcare Hmo/Pos In Net Sjhap / Sjhmg | $12.42 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Bristol Park Medical Group Hmo/Pos In Net | Bristol Park Medical Group Hmo/Pos In Net | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Oscar Health Plan | Oscar Health Plan Ppo Epo | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | La Salle Medical Associates | La Salle Medical Associates Hmo/Pos In Net | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Prospect Medical Group/Gateway Mg/Gateway Ipa/Procare Mg | Prospect Medical And Its Affiliated Medical Groups | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Redlands Community Hospital | Redlands Community Hospital-Acute Care Agreement | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Alpha Care Medical Group | Alpha Care Ipa-Hmo | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Greater Newport Physicians | Greater Newport Physicians Hmo/Pos In Net | $12.89 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Other | BRIGHTON HEALTH | $13.00 | $1,260.00 | $1,247.00 | 2025-11-19 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Monarch Health Plan | Monarch Health Plan | $13.48 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.56 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.56 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.56 | — | — | 2026-03-18 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Blue Shield Of California Uc Care Ppo | Blue Shield Of California Uc Care Ppo | $13.88 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Bright Medical Group | Bright Medical Group Hmo/Pos In Net | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Arta Health Network | Arta Health Network Hmo/Pos In Net | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Kaiser Foundation Hospitals Hmo | Kaiser Foundation Hospitals Hmo | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Family Choice (Fountain Valley Reg Hosp) | Family Choice (Fountain Valley Reg Hosp) Medi-Cal/Caloptima | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Magellan Health Services | Magellan Health Services Hmo | $14.06 | $23.44 | $23.44 | 2026-11-02 | 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 | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Optumhealth Care Solutions, Inc | Optumhealth Care Solutions Hmo In Net | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Epic Management | Epic Management In Network Hmo | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Magellan Health Services | Magellan Health Services Ppo | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Heritage Provider Network | Heritage Provider Network-Hmo | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Optumhealth Care Solutions, Inc | Optumhealth Care Solutions Ppo Out Net | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Talbert Medical Group Hmo/Pos In Net | Talbert Medical Group Hmo/Pos In Net | $14.06 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Noble Ama Select/ Pioneer/ Rfk Medical Groups Hmo/Pos In Net | Pioneer Medical Group | $15.24 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Prime Care Medical Group | Prime Care Medical Group Hmo/Pos | $15.24 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Memorial Healthcare Ipa Hmo/Pos In Net | Memorial Healthcare Ipa Hmo/Pos In Net | $15.24 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Monarch Healthcare Ipa | Monarch Healthcare Ipa Hmo/Pos In Net | $15.24 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Rady Childrens Hospital San Diego | Rady Childrens Hospital San Diego Commercial Hmo | $15.24 | $23.44 | $23.44 | 2026-11-02 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Noble Mid Orange County Hmo/Pos In Net | Noble Mid Orange County Hmo/Pos In Net | $15.24 | $23.44 | $23.44 | 2026-11-02 | 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.