81404 — Mopath Procedure Level 5
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MOPATH PROCEDURE LEVEL 5 (CPT 81404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81404?code_type=CPT
MLA (9th ed.)
“MOPATH PROCEDURE LEVEL 5 (CPT 81404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81404?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“MOPATH PROCEDURE LEVEL 5 (CPT 81404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81404?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $146–$772 (25th–75th percentile) across 2,205 hospitals · 7,161 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81404 — 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
$146
$345 typical
$772
The middle 50% of negotiated facility rates for this procedure, measured across 2,205 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $345 |
| Likely subtotal | $345 |
Facility charge (no separate professional fee)
$345
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $1,070.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,950.75 | $975.38 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,070.00 | — | 2025-05-02 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $1,055.00 | $896.75 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,070.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,950.75 | $975.38 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,055.00 | $896.75 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,070.00 | — | 2025-05-02 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,979.00 | $2,532.15 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $2,979.00 | $2,532.15 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $490.00 | $318.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $490.00 | $318.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $490.00 | $318.50 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield Promise Medi-Cal | Managed Medi-Cal | $0.25 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $0.28 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | First Health | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | PPO | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Navigate/Charter/Core | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | HMO | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Colorado Community Health Alliance (CCHA) | Behavioral Health RAE | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem City of Colorado Springs Employer Group | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Broad Networks | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Humana | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Individual Colorado Option | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Rocky Mountain Health Plan | Medicaid RAE | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Individual ACA | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | PHCS | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem CU Trust | Commercial | $0.29 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Rocky Mountain Health Plan | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Simplified Benefits Administration | Narrow Network Exclusive Plan (EPO) | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Broad Networks | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Select Colorado | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Employee High Deductible Health Plan | PPO | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser Public Option | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem | HMO/PPO | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway Individual/Small Group | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Colorado Rockies | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | CMS | Medicare | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna ASA | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Simplified Benefits Administration | Tiered Benefits | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Employee | HMO/PPO | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Colorado Access | Behavioral Health RAE | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna Core/Meritain | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Rocky Mountain Health Plan | Colorado Option | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway | Colorado Option | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Devoted Health | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Local Plus/SureFit/Connect | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Midlands Choice | Commercial | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Medicare Advantage | — | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Anthem CU Trust | Commercial | $0.29 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | HIX | $0.39 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Rocky Mountain Health Plan | Colorado Option | $0.39 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Simplified Benefits Administration | Narrow Network Exclusive Plan (EPO) | $0.42 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $0.43 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Simplified Benefits Administration | Tiered Benefits | $0.44 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Denver Health Medical Plan | HighPoint | $0.44 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Kaiser Public Option | Commercial | $0.47 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Local Plus/SureFit/Connect | $0.48 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Elevate | $0.48 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Colorado Rockies | $0.49 | $1.20 | $0.42 | 2025-11-01 | 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 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 ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | VIVA | VIVA COMMERCIAL | $0.55 | $1.00 | $1.00 | 2026-03-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | VIVA | VIVA COMMERCIAL | $0.55 | $1.00 | $1.00 | 2026-03-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Molina | MCR | $0.57 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | LA Care Medi-Cal | Managed Medi-Cal | $0.60 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | PHCS | PPO | $0.60 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | HighPoint | $0.60 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Rocky Mountain Health Plan | Commercial | $0.61 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Broad Networks | $0.62 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Fort Worth Firefighters | Commercial | $0.63 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Fort Worth Firefighters | Commercial | $0.63 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Fort Worth Firefighters | Commercial | $0.63 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Denver Health Hospital Authority HMO | $0.64 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | PHCS | Commercial | $0.66 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | City of Fort Worth | Commercial | $0.67 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Aetna | Whole Health | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Aetna | Coventry | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Molina | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Humana | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Aetna | ASA | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Blue Cross Blue Shield | Traditional | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | United Healthcare | Medicare Advantage PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | United Healthcare | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Aetna | Commercial | — | $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 HOSPITAL SOUTHWEST F InpatientFacility | Amerigroup | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Aetna | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | HealthSpring | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Blue Cross Blue Shield | Exchange | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Molina | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Cigna | OAP/HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | United Healthcare | Medicare Advantage HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | American Health | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Blue Cross Blue Shield | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Amerigroup | Medicare Advantage | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Blue Cross Blue Shield | HMO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | United Healthcare Options | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Cook Childrens | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Cigna | PPO | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Superior Wellcare | Managed Medicaid | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | City of Fort Worth | Commercial | $0.67 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | United Healthcare | All Payer | — | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Coventry Health Care (CCN) | HMO/POS/PPO/SR | $0.70 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Kaiser | HMO | $0.70 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Kaiser | PPO | $0.70 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Indemnity | Commercial | $0.71 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Healthcare Partners/Optum Medicare | Managed Medicare | $0.71 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $0.71 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield IFP | EPN | $0.71 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Multiplan | Commercial | $0.72 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Focus | $0.75 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | FullyInsured | $0.75 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Select | $0.75 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Flex | $0.75 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Beech Street | PPO/EPO | $0.75 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | CIGNA | CIGNA MEDICARE | $0.75 | $1.00 | $1.00 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | CIGNA | CIGNA MEDICARE | $0.75 | $1.00 | $1.00 | 2026-03-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Engage | $0.75 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | Empower | $0.75 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.76 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS Both | AETNA | AETNA COMMERCIAL | $0.78 | $1.00 | $1.00 | 2026-03-23 | MRF ↗ |
| DECATUR MORGAN HOSPITAL WEST Both | AETNA | AETNA COMMERCIAL | $0.78 | $1.00 | $1.00 | 2026-03-23 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Healthcare Partners/Optum | HMO | $0.78 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cigna | OAP/HMO | $0.79 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Cigna | OAP/HMO | $0.79 | $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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.80 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | HMO/PPO | $0.81 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | AvMed | ASOEO | $0.84 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Midlands Choice | Commercial | $0.84 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | First Health | Commercial | $0.84 | $1.20 | $0.42 | 2025-11-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Quick Trip | Commercial | $0.86 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Quick Trip | Commercial | $0.86 | $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 PRESBYTERIAN HOSPITAL PLANO InpatientFacility | Fort Worth Firefighters | Commercial | $0.87 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F InpatientFacility | Fort Worth Firefighters | Commercial | $0.87 | $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 ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Heritage Provider Network (Regal & Lakeside) | HMO/PPO | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Aetna Senior | Managed Medicare | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Heritage Provider Network (Regal & Lakeside) Medicare | Managed Medicare | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Blue Cross Anthem | HMO/POS/PPO | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | LA Care Medi-Cal | Managed Medi-Cal | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | LA Care Medicare | Managed Medicare | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Blue Shield Promise Medi-Cal | Managed Medi-Cal | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Health Net Medi-Cal | Managed Medi-Cal | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO InpatientFacility | Quick Trip | Commercial | $0.90 | $1.43 | $0.86 | 2026-04-21 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Molina Medicare | Managed Medicare | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Blue Shield Senior | Managed Medicare | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | MultiPlan | PPO | $0.90 | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Aetna | HMO/PPO | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Molina Medi-Cal | Managed Medi-Cal | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Blue Cross Anthem Medi-Cal | Managed Medi-Cal | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Beech Street | PPO/EPO | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Health Net | HMO/POS/PPO | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Health Net Enhanced (Ambetter) | PPO | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | Health Net Senior | Managed Medicare | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL InpatientFacility | LA Care Pasc Seiu | Managed Medi-Cal | — | $1.00 | $1.00 | 2025-06-11 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH InpatientFacility | Quick Trip | Commercial | $0.90 | $1.43 | $0.86 | 2026-04-21 | 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.