81450 — Hl Neo Gsap 5-50dna/dna&rna
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HL NEO GSAP 5-50DNA/DNA&RNA (HCPCS 81450) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81450?code_type=HCPCS
MLA (9th ed.)
“HL NEO GSAP 5-50DNA/DNA&RNA (HCPCS 81450) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81450?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HL NEO GSAP 5-50DNA/DNA&RNA (HCPCS 81450) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81450?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $767–$2,381 (25th–75th percentile) across 2,522 hospitals · 6,489 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81450 — 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
$767
$1,492 typical
$2,381
The middle 50% of negotiated facility rates for this procedure, measured across 2,522 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,492 |
| Likely subtotal | $1,492 |
Facility charge (no separate professional fee)
$1,492
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 $767–$2,381.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $4,739.00 | $4,028.15 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,739.00 | $4,028.15 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,598.44 | $1,299.22 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $9,028.00 | $7,673.80 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $9,028.00 | $7,673.80 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,598.44 | $1,299.22 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $45,587.90 | $29,632.14 | 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 | — | $45,587.90 | $29,632.14 | 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 | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4,234.00 | — | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $5,241.00 | $3,406.65 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $5,241.00 | $3,406.65 | 2026-06-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,266.00 | $4,699.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $1,100.00 | $825.00 | 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 ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,246.00 | $4,684.50 | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $5,164.00 | $3,873.00 | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,246.00 | $4,684.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,266.00 | $4,699.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,266.00 | $4,699.50 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA QPIC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,246.00 | $4,684.50 | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SPP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,266.00 | $4,699.50 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,266.00 | $4,699.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $14,064.00 | $10,548.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $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 ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $2,210.00 | $1,657.50 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $2,278.60 | $759.53 | 2026-09-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,246.00 | $4,684.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,246.00 | $4,684.50 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $8,772.00 | $6,579.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,100.00 | $825.00 | 2026-09-01 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | HEALTH NET | EHN-EMPLOYERS HEALTH NETWORK | $1.10 | — | — | 2026-04-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $5,241.00 | $3,406.65 | 2026-06-15 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | BCBS NETWORK BLUE-ALL OTHER PLANS | BCBS NETWORK BLUE-ALL OTHER PLANS | $1.20 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $1.20 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $1.20 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | HUMANA PPO-ALL OTHER PLANS | HUMANA PPO-ALL OTHER PLANS | $1.50 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $1.50 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | UHC COMMERCIAL-ALL OTHER PLANS | UHC COMMERCIAL-ALL OTHER PLANS | $1.50 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.80 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $2,409.00 | $1,686.30 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $2,409.00 | $1,686.30 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $2,409.00 | $1,686.30 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $2,409.00 | $1,686.30 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $2,409.00 | $1,686.30 | 2025-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | — | — | 2025-11-26 | 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 ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,541.00 | — | 2025-06-28 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Medicaid | Medicaid | $3.09 | $51.50 | $51.50 | 2025-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Blue Cross Blue Shield | Traditional | $5.51 | $51.50 | $51.50 | 2025-03-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD IFP EPN | $5.90 | — | — | 2026-09-02 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $6.01 | — | — | 2026-02-19 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Cigna | Commercial | $7.26 | $51.50 | $51.50 | 2025-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $8.25 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $8.25 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $8.25 | — | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD HMO/PPO | $8.54 | — | — | 2026-09-02 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $8.62 | $171.43 | $120.00 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $8.62 | $171.43 | $120.00 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $8.62 | $171.43 | $120.00 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $8.62 | $171.43 | $120.00 | 2026-05-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HOSPICE [550001] | ERIE [55000101] | $10.00 | $1,333.00 | $1,333.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HOSPICE [550001] | NIAGARA [55000102] | $10.00 | $1,333.00 | $1,333.00 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $8,411.00 | $24.67 | 2026-03-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Health Medicaid | United Health Medicaid | $11.00 | $2,794.88 | $2,794.88 | 2026-07-17 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $45,587.90 | $29,632.14 | 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 | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Good Shepherd | Op | $11.22 | $51.00 | $10.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Good Shepherd | Op | $11.22 | $51.00 | $10.00 | 2026-07-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $11.38 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $12.00 | $1,575.00 | $945.00 | 2026-06-13 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA IFP PPO VALUE NETWORK | $12.79 | — | — | 2026-09-02 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $13.94 | $2,621.00 | $2,621.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $13.94 | $2,621.00 | $2,621.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $13.94 | $2,621.00 | $2,621.00 | 2026-07-15 | 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 | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | — | $45,587.90 | $29,632.14 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA PPO | $15.74 | — | — | 2026-09-02 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $15.93 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $16.64 | $3,329.00 | $3,329.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $17.18 | $3,436.00 | $3,436.00 | 2026-06-05 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | CIGNA | CIGNA COMMERCIAL | $17.40 | $30.00 | $12.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | CIGNA | CIGNA COMMERCIAL | $17.40 | $30.00 | $12.00 | 2026-03-24 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $17.41 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $17.52 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $17.52 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Avmed | Ip | $17.85 | $51.00 | $10.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Avmed | Ip | $17.85 | $51.00 | $10.00 | 2026-07-18 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $8,411.00 | $24.67 | 2026-03-22 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PPO OTHER PAYOR | $18.89 | — | — | 2026-09-02 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $19.00 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $19.34 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $19.52 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $19.52 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $19.91 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.91 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.91 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.91 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.91 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $19.91 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CIGNA NEW BUSINESS | 1465_CIGNA NEW BUSINESS 20250701 | $20.00 | $100.00 | $37.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CIGNA NEW BUSINESS | 1465_CIGNA NEW BUSINESS 20250701 | $20.00 | $100.00 | $37.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Both | CIGNA HMO NEW BUSINESS | 1700_CIGNA HMO NEW BUSINESS 20250701 | $20.00 | $100.00 | $37.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Both | CIGNA HMO NEW BUSINESS | 1698_CIGNA HMO NEW BUSINESS 20250701 | $20.00 | $100.00 | $37.00 | 2026-01-01 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $20.38 | $101.88 | $71.32 | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $20.38 | $101.88 | $71.32 | 2026-07-15 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $20.38 | $101.88 | $71.32 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $20.38 | $101.88 | $71.32 | 2026-07-15 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $20.38 | $101.88 | $71.32 | 2026-07-15 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $20.38 | $101.88 | $71.32 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.44 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.44 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.98 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.98 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $21.52 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $21.52 | $5,380.00 | $5,111.00 | 2026-02-20 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $22.05 | $49.00 | $44.10 | 2026-04-05 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Humana Hmo | Ip | $22.24 | $51.00 | $10.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Humana Hmo | Ip | $22.24 | $51.00 | $10.00 | 2026-07-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $22.30 | $2,275.00 | $2,275.00 | 2026-06-05 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $23.20 | $3,400.00 | $1,258.00 | 2026-03-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $23.30 | $3,329.00 | $3,329.00 | 2026-06-05 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | PPOPLUS | PPOPLUS (ZELIS NETWORK SOLUTIONS) | $23.40 | $30.00 | $12.00 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | PPOPLUS | PPOPLUS (ZELIS NETWORK SOLUTIONS) | $23.40 | $30.00 | $12.00 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $23.43 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Inpatient | Center Care | Center Care | $23.91 | $10,500.00 | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | FIRSTHEALTH | FIRST HEALTH NETWORK | $24.00 | $30.00 | $12.00 | 2026-04-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.