81437 — Hereditary Neuroendocrine Tumor-related Disorders (eg, Medullary Thyroid Carcinoma, Parathyroid Carcinoma, Malignant Pheochromocytoma Or Paraganglioma), Genomic Sequence Analysis Panel, 5 Or More Gene
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene (HCPCS 81437) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81437?code_type=HCPCS
MLA (9th ed.)
“Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene (HCPCS 81437) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81437?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene (HCPCS 81437) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81437?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $825–$1,956 (25th–75th percentile) across 1,666 hospitals · 2,773 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81437 — 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
$825
$1,369 typical
$1,956
The middle 50% of negotiated facility rates for this procedure, measured across 1,666 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,369 |
| Likely subtotal | $1,369 |
Facility charge (no separate professional fee)
$1,369
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $825–$1,956.
- 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 |
|---|---|---|---|---|---|---|---|
| DELL CHILDREN'S MEDICAL CENTER Outpatient | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS NON MCS | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MCS WC | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA QPIC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SPP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD ALLCARE CAPITATION | $2.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD ACO RECIPROCITY | $2.00 | — | — | 2026-09-02 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,527.00 | — | 2025-06-28 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Caterpillar | Epo | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Physicians Health Association Of Il | All Products | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Ppo | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Access Community Health Network | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Resurrection Phys Provider Group | All Products | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Humboldt Park Health Partners | All Products | $3.50 | $302.20 | $90.66 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $3.50 | $302.20 | $90.66 | 2026-09-21 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $3.94 | — | — | 2026-02-19 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD IFP EPN | $5.90 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD HMO/PPO | $8.54 | — | — | 2026-09-02 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicaid MCO | $10.00 | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Ambetter | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HOSPICE [550001] | NIAGARA [55000102] | $10.00 | $2,189.00 | $2,189.00 | 2026-04-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Medical Associates Health Plan | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicaid MCO | $10.00 | — | — | 2026-03-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Healthy Blue | Medicaid Advantage | $10.00 | — | — | 2026-07-29 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HOSPICE [550001] | ERIE [55000101] | $10.00 | $2,189.00 | $2,189.00 | 2026-04-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicare Advantage | — | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Health Partners of Kansas | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicare Advantage | — | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Aetna | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Ambetter | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | WPPA | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Blue Cross Blue Shield Kansas | POS | — | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicare Advantage | — | — | — | 2026-08-14 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HOSPICE [550001] | ERIE [55000101] | $10.00 | $2,189.00 | $2,189.00 | 2026-04-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Health Choices | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HOSPICE [550001] | NIAGARA [55000102] | $10.00 | $2,189.00 | $2,189.00 | 2026-04-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Health Choices | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicaid MCO | $10.00 | — | — | 2026-03-24 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicaid MCO | $10.00 | — | — | 2026-08-14 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | WPPA | PPO | — | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $10.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $10.00 | — | — | 2026-01-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Blue Cross Blue Shield Kansas | POS | — | — | — | 2026-08-14 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $10.00 | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Healthy Blue | Medicaid Advantage | $10.00 | — | — | 2026-03-17 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicaid MCO | $10.00 | — | — | 2026-08-14 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicaid Advantage | $10.00 | — | — | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Sunflower Health Plan Medicaid | $10.00 | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | KanCare Medicaid | $10.00 | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Healthy Blue KanCare | $10.00 | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | State of Kansas | Medical Assistance Program | $10.00 | — | — | 2026-03-06 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-14 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicare Advantage | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicaid MCO | $10.00 | — | — | 2026-08-14 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicaid Advantage | $10.00 | — | — | 2026-07-29 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Health Partners of Kansas | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Medical Associates Health Plan | PPO | — | — | — | 2026-08-14 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-08-14 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $10.00 | — | — | 2026-01-08 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE AMERIGROUP | 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701 | $10.50 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AMERIGROUP | 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701 | $10.50 | — | — | 2026-01-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA IFP PPO VALUE NETWORK | $12.79 | — | — | 2026-09-02 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $13.37 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $13.37 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $13.37 | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA HMO | $14.96 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA PPO | $15.74 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PPO OTHER PAYOR | $18.89 | — | — | 2026-09-02 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $7,200.00 | $5,040.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $7,200.00 | $5,040.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $7,200.00 | $5,040.00 | 2026-07-14 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $22.90 | — | — | 2026-03-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-18 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $24.00 | $596.31 | $357.79 | 2026-02-21 | 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 ↗ |
| COMMUNITY FIRST MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $33.00 | $4,689.00 | $2,344.50 | 2026-04-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | $33.00 | $1,755.00 | $438.75 | 2025-10-14 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $33.00 | $4,689.00 | $2,344.50 | 2026-04-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | 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.