81410 — Aortic Dysfunction/dilation
Cite this view
HANK Price Transparency. (n.d.). AORTIC DYSFUNCTION/DILATION (CPT 81410) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81410?code_type=CPT
“AORTIC DYSFUNCTION/DILATION (CPT 81410) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81410?code_type=CPT. Accessed .
“AORTIC DYSFUNCTION/DILATION (CPT 81410) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81410?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $504–$1,805 (25th–75th percentile) across 1,646 hospitals · 3,850 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81410 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 1,646 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $741 |
| Likely subtotal | $741 |
- 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $3,975.92 | $1,987.96 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,975.92 | $1,987.96 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,396.56 | $907.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,396.56 | $907.76 | 2025-11-26 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | HEALTH NET | EHN-EMPLOYERS HEALTH NETWORK | $1.10 | — | — | 2026-04-15 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Commercial | $3.79 | $1,138.75 | $683.25 | 2026-05-08 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $4.66 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $4.66 | — | — | 2026-04-15 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $7.71 | — | — | 2026-02-19 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $7.98 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $7.98 | — | — | 2026-04-01 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | $8.33 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,396.56 | $907.76 | 2025-11-26 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $8.75 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $8.75 | — | — | 2026-04-01 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | Health Net | Medicare Advantage HMO | $8.78 | — | $915.11 | 2026-04-08 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | Health Net | Medicare Advantage HMO | $8.78 | — | $915.11 | 2026-04-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $978.46 | $587.08 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Ppo/Pos | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Hmo | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-18 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $10.00 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Medicaid | Medicaid | $14.01 | $233.52 | $233.52 | 2025-03-31 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional/PPO/Blue Essentitals | $14.06 | — | — | 2025-06-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $16.17 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $16.17 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Aetna | Preferred Other Commercial Plan | $17.74 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Aetna | Preferred Other Commercial Plan | $17.74 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Aetna | Preferred Other Commercial Plan | $17.74 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $20.43 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $22.68 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $24.00 | $283.50 | $170.10 | 2026-02-18 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Blue Cross Blue Shield | Traditional | $24.99 | $233.52 | $233.52 | 2025-03-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $25.53 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $26.30 | — | — | 2026-03-18 | MRF ↗ |
| LOGAN HEALTH - SHELBY OutpatientFacility | Bcbs | Ppo | $27.70 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $31.18 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $31.18 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $31.18 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $31.18 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $31.18 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Cigna | Commercial | $32.93 | $233.52 | $233.52 | 2025-03-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | $33.00 | $6,023.00 | $1,505.75 | 2025-10-14 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $34.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $34.05 | $3,973.00 | $1,589.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $34.05 | $3,973.00 | $1,589.20 | 2026-05-13 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $35.75 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $36.60 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $283.50 | $170.10 | 2026-02-20 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $38.30 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $38.30 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | Superior Health Plan | Medicaid | $39.69 | $283.50 | $170.10 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | Superior Health Plan | Medicaid | $39.69 | $283.50 | $170.10 | 2026-02-19 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $40.00 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Healthcare | $40.85 | $85.11 | $85.11 | 2026-05-22 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $44.45 | $127.00 | $88.90 | 2026-04-01 | 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.