81315 — Pml/raralpha Com Breakpoints
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PML/RARALPHA COM BREAKPOINTS (CPT 81315) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81315?code_type=CPT
MLA (9th ed.)
“PML/RARALPHA COM BREAKPOINTS (CPT 81315) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81315?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PML/RARALPHA COM BREAKPOINTS (CPT 81315) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81315?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $207–$584 (25th–75th percentile) across 2,427 hospitals · 6,441 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81315 — 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
$207
$270 typical
$584
The middle 50% of negotiated facility rates for this procedure, measured across 2,427 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $270 |
| Likely subtotal | $270 |
Facility charge (no separate professional fee)
$270
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 $207–$584.
- 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 PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,076.00 | $914.60 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,009.68 | $1,004.84 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $1,076.00 | $914.60 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,009.68 | $1,004.84 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $2,415.00 | $2,052.75 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,415.00 | $2,052.75 | 2025-01-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $570.00 | $427.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $570.00 | $427.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $0.31 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $0.31 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.31 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.31 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $570.00 | $427.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,586.00 | — | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,430.00 | $929.50 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,430.00 | $929.50 | 2026-06-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $570.00 | $427.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $225.00 | $168.75 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $570.00 | $427.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $570.00 | $427.50 | 2026-09-01 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Beech_Street_Corporation_ | Accelerated_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AvMed_Health_Plan | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | Volusia_County | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $245.00 | $183.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $245.00 | $183.75 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $245.00 | $183.75 | 2026-09-02 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | SureFit_EPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Beech_Street_Corporation | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Avmed | State_of_Florida | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | HealthOne_Alliance | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | Self_Funded | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | United_HealthCare | NHP | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | Self_Funded | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UHC | International | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $621.93 | $207.31 | 2026-09-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $7,332.66 | $4,766.23 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | County_of_Volusia | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Amerihealth Caritas | QHP | $1.00 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $425.00 | $318.75 | 2026-09-01 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Private_Healthcare_Systems | PPO_NR | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | AvMed | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | EPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | NHP | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna | ASA_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Zelis | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $225.00 | $168.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | UPMC | HMO_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Amerihealth Caritas | QHP | $1.00 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | GMMI | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $245.00 | $183.75 | 2026-09-02 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna_Whole_Health | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $225.00 | $168.75 | 2026-05-20 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | United_HealthCare | Nexus_HMO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Plotkin | International | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | QHP | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Aetna | ASA_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | ASA | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Aetna_Whole_Health | HMO_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | First_Health | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | HealthOne_Alliance | HMO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | TRADITIONAL | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | National_Healthcare_Solutions | International_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | NETWORK_BLUE | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | First_Health_Network | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Cigna_HealthCare | HMO_PPO | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | HealthOne_Alliance | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | United_HealthCare | HMO_PPO | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | GMMI | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | GMMI | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | Self_Funded_HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Humana | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | United_HealthCare | Nexus_HMO | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Interplan_Health_Group | PPO_NR | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | United_HealthCare | International | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | NHP | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | United_HealthCare | NHP | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | GMMI | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Beech_Street_Corporation_ | Accelerated_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $7,332.66 | $4,766.23 | 2025-11-26 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Avmed | State_of_Florida | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | BLUE_SELECT | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA QPIC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Multiplan | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Multiplan | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | First_Health_Network | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | United_HealthCare | International | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | GMMI | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | UPMC | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | EPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | United_HealthCare | International | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Amerihealth Caritas | QHP | $1.00 | $6.26 | $4.38 | 2026-05-27 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Humana | HMO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | AvMed | HMO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | AMPS | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | International | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | AvMed | HMO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna | International_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | QHP_Exchange | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Cigna_HealthCare | SureFit_EPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Aetna | International_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $245.00 | $183.75 | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $225.00 | $168.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Plotkin | International | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Cigna_HealthCare | HMO_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Beech_Street_Corporation | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | United_HealthCare | Exchange | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Humana | HMO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Multiplan | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SPP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $2,759.00 | $2,069.25 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UPMC | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Aetna | QHP_Exchange | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Aetna | HMO_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Aetna | HMO_PPO | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | HMO_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | National_Healthcare_Solutions | International_PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Private_Healthcare_System | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Florida_Health_Care_Plan | Medicare | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,318.00 | $988.50 | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | Surefit | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | Whole_Health | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | United_HealthCare | HMO_PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Polkin_Health | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Private_Healthcare_Systems | PPO_NR | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | National_Healthcare_Solution | PPO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Zelis | PPO | $1.00 | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Cigna_HealthCare | SureFit_EPO | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | HMO | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $225.00 | $168.75 | 2026-05-20 | MRF ↗ |
| ADVENTHEALTH WATERMAN Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $1.28 | $0.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | HEALTH_OPTIONS | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | PPC | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $1.00 | $1.55 | $0.62 | 2024-12-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | 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.