81440 — Mitochondrial Gene
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MITOCHONDRIAL GENE (CPT 81440) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81440?code_type=CPT
MLA (9th ed.)
“MITOCHONDRIAL GENE (CPT 81440) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81440?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“MITOCHONDRIAL GENE (CPT 81440) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81440?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,636–$4,587 (25th–75th percentile) across 1,660 hospitals · 2,326 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81440 — 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
$2,636
$3,324 typical
$4,587
The middle 50% of negotiated facility rates for this procedure, measured across 1,660 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,324 |
| Likely subtotal | $3,324 |
Facility charge (no separate professional fee)
$3,324
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 $2,636–$4,587.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| 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 Outpatient | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $30.43 | $19.78 | 2025-11-26 | 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 EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | 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 | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $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 ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $8,310.00 | $3,324.00 | 2026-09-05 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | HEALTH NET | EHN-EMPLOYERS HEALTH NETWORK | $1.10 | — | — | 2026-04-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD ACO RECIPROCITY | $2.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD ALLCARE CAPITATION | $2.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $2.87 | — | — | 2026-09-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Traditional Medicare Facility | Traditional Medicare Facility | $2.94 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Traditional Medicare Facility | Traditional Medicare Facility | $2.94 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $2.94 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $3.00 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $3.00 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $3.00 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $3.00 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $3.00 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $3.09 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $3.09 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $3.15 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | BCBS NETWORK BLUE-ALL OTHER PLANS | BCBS NETWORK BLUE-ALL OTHER PLANS | $3.60 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $3.60 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $3.60 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $3.75 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $3.97 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $4.50 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | UHC COMMERCIAL-ALL OTHER PLANS | UHC COMMERCIAL-ALL OTHER PLANS | $4.50 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | HUMANA PPO-ALL OTHER PLANS | HUMANA PPO-ALL OTHER PLANS | $4.50 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Exchange Facility | Mhs Exchange Facility | $4.95 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Exchange Facility | Mhs Exchange Facility | $4.95 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $5.35 | — | — | 2026-09-01 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $5.40 | $6.00 | $4.20 | 2025-07-17 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $5.40 | $8,310.00 | $8,310.00 | 2026-07-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD IFP EPN | $5.90 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $30.43 | $19.78 | 2025-11-26 | 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 ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | $8.33 | — | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD HMO/PPO | $8.54 | — | — | 2026-09-02 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $30.43 | $19.78 | 2025-11-26 | 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 | Hmo | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Ppo/Pos | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $9.85 | — | — | 2026-02-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA IFP PPO VALUE NETWORK | $12.79 | — | — | 2026-09-02 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional/PPO/Blue Essentitals | $14.06 | — | — | 2025-06-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA HMO | $14.96 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA PPO | $15.74 | — | — | 2026-09-02 | 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 ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.51 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.51 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.51 | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PPO OTHER PAYOR | $18.89 | — | — | 2026-09-02 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $25.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $27.39 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $27.39 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $27.39 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $27.39 | $166.00 | $33.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $27.39 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $27.39 | $166.00 | $33.20 | 2026-02-11 | 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 ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $29.07 | $3,423.72 | $1,746.10 | 2025-01-10 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $30.00 | $13,520.00 | $8,112.00 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $30.00 | $13,520.00 | $8,112.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $30.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $30.00 | $13,520.00 | $8,112.00 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Anthem Pediatric | HMO/PPO/Traditional | $31.32 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $31.32 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $32.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $32.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $32.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $32.00 | $13,520.00 | $8,112.00 | 2026-02-21 | 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 ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $33.20 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $33.20 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $33.20 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $33.20 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $33.20 | $166.00 | $33.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $33.20 | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $1,683.33 | $1,010.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $34.00 | $1,683.33 | $1,010.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $34.00 | $1,683.33 | $1,010.00 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $34.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $2,500.00 | $2,050.00 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | United Healthcare | Commercial | $35.00 | $13,520.00 | $8,112.00 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $35.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $35.00 | $13,520.00 | $8,112.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | United Healthcare | Commercial | $35.00 | $13,520.00 | $8,112.00 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Commercial | $35.00 | $13,520.00 | $8,112.00 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $35.00 | $13,520.00 | $8,112.00 | 2026-02-21 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $35.21 | $700.00 | $490.00 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $35.21 | $700.00 | $490.00 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $35.21 | $700.00 | $490.00 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $35.21 | $700.00 | $490.00 | 2026-05-27 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $36.00 | $13,520.00 | $8,112.00 | 2026-06-13 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $1,683.33 | $1,010.00 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $1,683.33 | $1,010.00 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $1,683.33 | $1,010.00 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $1,683.33 | $1,010.00 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $38.00 | $1,683.33 | $1,010.00 | 2026-02-20 | 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.