81425 — Genome Sequence Analysis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GENOME SEQUENCE ANALYSIS (HCPCS 81425) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81425?code_type=HCPCS
MLA (9th ed.)
“GENOME SEQUENCE ANALYSIS (HCPCS 81425) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81425?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GENOME SEQUENCE ANALYSIS (HCPCS 81425) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81425?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,025–$6,289 (25th–75th percentile) across 1,498 hospitals · 2,802 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81425 — 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
$4,025
$5,132 typical
$6,289
The middle 50% of negotiated facility rates for this procedure, measured across 1,498 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,132 |
| Likely subtotal | $5,132 |
Facility charge (no separate professional fee)
$5,132
- 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | STARMARK [5240] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA [5002] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Aetna | POS | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.03 | $3,100.00 | $217.00 | 2026-01-25 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Aetna | HMO | $0.03 | — | — | 2026-01-13 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | STARMARK [5240] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Aetna | HMO | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | CMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Aetna | EPO | $0.03 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Aetna | New Business | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Aetna | PPO | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | Aetna | EPO | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Aetna | PPO | $0.03 | — | — | 2026-01-13 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Aetna | POS | $0.03 | — | — | 2026-01-13 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Aetna | New Business | $0.03 | — | — | 2026-01-13 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Aetna | Aetna | $0.03 | $6,038.00 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna | OPN Commercial | $0.03 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna | Commercial | $0.03 | — | — | 2025-05-16 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA [5002] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | MMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $3,644.00 | $3,644.00 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $0.04 | $10,224.08 | $10,224.08 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Aetna | QHPHIX | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Aetna | QHPHIX | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | QHPHIX | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Aetna | QHPHIX | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| PROVIDENCE ALASKA MEDICAL CENTER OutpatientFacility | Aetna | Active Other Commercial Plan | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | QHPExchange | $0.05 | — | — | 2026-03-01 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.05 | $3,100.00 | $465.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $0.05 | $3,100.00 | $589.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | AETNA- ALL PLANS | AETNA- ALL PLANS | $0.05 | $3,100.00 | $465.00 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.05 | $3,100.00 | $837.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $0.05 | $3,100.00 | $589.00 | 2026-01-25 | MRF ↗ |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | Commercial|All Plans | $0.05 | $12,840.00 | $4,904.88 | 2026-02-28 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $0.06 | $6,480.00 | $6,480.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $0.06 | $8,265.00 | $8,265.00 | 2026-03-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Aetna | All Commercial Plans | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NarrowNetwork | $0.06 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NarrowNetwork | $0.06 | $10,224.08 | $10,224.08 | 2025-01-01 | MRF ↗ |
| PROVIDENCE ALASKA MEDICAL CENTER OutpatientFacility | Aetna | Retirees Other Commercial Plan | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | Aetna | Commercial|All Other Plans | $0.06 | $3,600.00 | $1,540.80 | 2026-02-28 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | $0.06 | $3,600.00 | $1,540.80 | 2026-02-28 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NarrowNetwork | $0.06 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Aetna | NarrowNetwork | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial|HMO | $0.06 | $3,600.00 | $1,540.80 | 2026-02-28 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | NarrowNetwork | $0.06 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Aetna | NarrowNetwork | $0.06 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Aetna | NarrowNetwork | $0.06 | — | — | 2025-01-01 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | Aetna | Commercial|HMO | $0.06 | $3,600.00 | $1,540.80 | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | Aetna | Commercial|PPO | $0.06 | $3,600.00 | $1,540.80 | 2026-02-28 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MDMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MDMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Aetna | QHPExchange(HIX) | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | AETNA- ALL PLANS | AETNA- ALL PLANS | $0.06 | $3,100.00 | $620.00 | 2026-01-27 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | Aetna | Commercial|Gatekeeper | $0.06 | $3,600.00 | $1,411.20 | 2026-02-28 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial|PPO | $0.06 | $3,600.00 | $1,540.80 | 2026-02-28 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Aetna | QHPExchange(HIX) | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $0.06 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | NBPOS | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | NBPPO | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | NBHMO | $0.06 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $0.07 | $3,100.00 | $589.00 | 2026-01-31 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Aetna | CommercialBaseNetwork | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Aetna | CommercialBaseNetwork | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NewBusinessRates | $0.07 | $10,224.08 | $10,224.08 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Aetna | NewBusinessRates | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | NarrowNetwork | $0.07 | $6,480.00 | $6,480.00 | 2026-03-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Aetna | Gatekeeper Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | CommercialBaseNetwork | $0.07 | $10,224.08 | $10,224.08 | 2025-01-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MDMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | CommercialBaseNetwork | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Aetna | NarrowNetwork | $0.07 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MDMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MDMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Aetna | CommercialBaseNetwork | $0.07 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MDMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-20 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | CommercialBaseNetwork | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Aetna | NewBusinessRates | $0.07 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | NewBusinessRates | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NewBusinessRates | $0.07 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $0.07 | $5,033.00 | $2,516.50 | 2026-03-23 | 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.