81415 — Exome Sequence Analysis
Cite this view
HANK Price Transparency. (n.d.). EXOME SEQUENCE ANALYSIS (CPT 81415) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81415?code_type=CPT
“EXOME SEQUENCE ANALYSIS (CPT 81415) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81415?code_type=CPT. Accessed .
“EXOME SEQUENCE ANALYSIS (CPT 81415) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81415?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,629–$6,692 (25th–75th percentile) across 1,586 hospitals · 3,238 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81415 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $33,928.44 | $16,964.22 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $33,928.44 | $16,964.22 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $2,290.00 | $1,259.50 | 2026-03-31 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5.05 | $5,050.00 | $1,515.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $5.05 | $5,050.00 | $1,515.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $5.05 | $5,050.00 | $1,515.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $5.05 | $5,050.00 | $1,515.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $5.05 | $5,050.00 | $1,515.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5.05 | $5,050.00 | $1,515.00 | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | HMO | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $6.82 | — | — | 2026-02-19 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,396.56 | $907.76 | 2025-11-26 | 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- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $978.46 | $587.08 | 2026-02-20 | 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 MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $978.46 | $587.08 | 2026-02-24 | 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 McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $10.00 | $978.46 | $587.08 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-19 | 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 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 - ROUND ROCK 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 - BUDA OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $11.00 | $978.46 | $587.08 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California | Medi-Cal | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medicare Advantage | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $22.71 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $22.71 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $22.71 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $24.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | HMO | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | $33.00 | $15,630.00 | $3,907.50 | 2025-10-14 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $34.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $34.00 | $8,187.50 | $4,912.50 | 2026-02-20 | 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 ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $8,187.50 | $4,912.50 | 2026-02-21 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Aetna | Exchange | $48.00 | $15,630.00 | $3,907.50 | 2025-10-14 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | $5,737.00 | — | 2026-04-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | $51.00 | $15,630.00 | $3,907.50 | 2025-10-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Optum HealtháPlan of California | HMO | — | $23.94 | $15.56 | 2025-11-26 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $60.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | EXCHANGE | $60.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | EXCHANGE | $60.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | UNITED | EXCHANGE | $60.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | EXCHANGE | $60.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $60.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | Comm/Healthy Kids/EPO | $65.00 | $2,500.00 | — | 2025-07-30 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | United Healthcare | Commercial | $68.00 | $11,950.00 | $7,170.00 | 2026-05-24 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Commercial | $68.00 | $11,950.00 | $7,170.00 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $68.00 | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $68.00 | $11,950.00 | $7,170.00 | 2026-05-13 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $11,950.00 | $7,170.00 | 2026-05-23 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | PPO | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs Ga Hmo/Pos | Ga Hmo/Pos | — | — | — | 2026-05-06 | MRF ↗ |
| NAVICENT HEALTH BALDWIN OutpatientFacility | United Healthcare | Commercial | $76.00 | $8,661.00 | $4,330.50 | 2025-11-19 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | MA | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | Choice PPO | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | Preferred PPO | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | Advantage PPO | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | MA | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | Advantage PPO | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | Preferred PPO | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Oklahoma | Choice PPO | $77.63 | — | — | 2026-03-05 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $5,258.00 | $4,780.00 | 2024-12-31 | MRF ↗ |
| NYACK HOSPITAL Outpatient | MVP | Commercial | $82.55 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | MVP | Commercial | $82.55 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | MVP | Commercial | $82.55 | — | — | 2025-06-27 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $162.74 | $133.45 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $90.90 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $90.90 | — | — | 2024-10-01 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | United Healthcare | Commercial | $91.00 | $11,950.00 | $7,170.00 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $91.00 | $11,950.00 | $7,170.00 | 2026-05-22 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | WC | $91.80 | — | — | 2024-10-01 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $848.50 | $340.25 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $3,687.00 | $1,478.49 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $848.50 | $340.25 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $848.50 | $340.25 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $2,792.00 | $1,119.60 | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $10,017.05 | $4,016.84 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $92.17 | $3,036.33 | $1,290.45 | 2026-02-06 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health | WC | $92.70 | — | — | 2024-10-01 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | $1,235.00 | $926.25 | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | $7,560.00 | $5,670.00 | 2025-01-31 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health | WC | $93.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $93.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $93.60 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $94.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | WC | $95.40 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $96.90 | — | — | 2024-10-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $97.07 | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | BCBS-OK | Federal | $97.07 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $97.85 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $98.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $98.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $98.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $98.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $98.80 | — | — | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | CorVel Corporation | WORKERSCOMP | $98.94 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Prime Health | WC | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Prime Health | WC | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Prime Health | WC | $99.00 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $99.75 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health | WC | $99.90 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TWIN CITIES HOSPITAL Outpatient | Prime Health | WC | $99.90 | — | — | 2024-10-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $100.00 | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $100.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CareWorks (Rockport) | WORKERSCOMP | $100.88 | — | — | 2024-10-01 | 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.