81455 — So/hl 51/>gsap Dna/dna&rna
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SO/HL 51/>GSAP DNA/DNA&RNA (CPT 81455) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81455?code_type=CPT
MLA (9th ed.)
“SO/HL 51/>GSAP DNA/DNA&RNA (CPT 81455) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81455?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SO/HL 51/>GSAP DNA/DNA&RNA (CPT 81455) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81455?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,091–$4,525 (25th–75th percentile) across 2,258 hospitals · 5,224 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81455 — 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
$2,091
$2,920 typical
$4,525
The middle 50% of negotiated facility rates for this procedure, measured across 2,258 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,920 |
| Likely subtotal | $2,920 |
Facility charge (no separate professional fee)
$2,920
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 $2,091–$4,525.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $23,118.06 | $11,559.03 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $23,118.06 | $11,559.03 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $2,250.00 | $1,687.50 | 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 BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $2,250.00 | $1,687.50 | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $0.31 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $0.31 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $0.31 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $2,250.00 | $1,687.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $8,074.00 | $6,055.50 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $9,252.00 | — | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,616.00 | $1,050.40 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,616.00 | $1,050.40 | 2026-06-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $12,549.00 | $9,411.75 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER 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 ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $7,291.50 | $2,919.60 | 2026-09-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,504.55 | $1,627.96 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $12,549.00 | $9,411.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $42,193.00 | $31,644.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $12,549.00 | $9,411.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $2,250.00 | $1,687.50 | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Amerihealth Caritas | QHP | $1.00 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $2,250.00 | $1,687.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $42,193.00 | $31,644.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $42,193.00 | $31,644.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $12,549.00 | $9,411.75 | 2026-09-02 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Amerihealth Caritas | QHP | $1.00 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $42,193.00 | $31,644.75 | 2026-09-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Amerihealth Caritas | QHP | $1.00 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $12,549.00 | $9,411.75 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,504.55 | $1,627.96 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $42,193.00 | $31,644.75 | 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 ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $1.06 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Aetna Better Health | Healthy Kids | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | EXCHANGE | $1.06 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Commercial | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Commercial | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Commercial | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Commercial | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Commercial | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $1.06 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | EXCHANGE | $1.06 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Commercial | $1.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | EXCHANGE | $1.06 | $6.25 | — | 2025-07-30 | 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 | $1,616.00 | $1,050.40 | 2026-06-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | IFP | $1.11 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | IFP | $1.11 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | IFP | $1.11 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Molina | Exchange | $1.12 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Molina | Exchange | $1.12 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Molina | Exchange | $1.12 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $1.17 | $6.25 | — | 2025-07-30 | 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 | 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 ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Solis Health Plan | Medicare | $1.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $1.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Solis Health Plan | Medicare | $1.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $1.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Solis Health Plan | Medicare | $1.25 | $6.25 | — | 2025-07-30 | 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 | 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 ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MMM of Florida | Medicare-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MMM of Florida | Medicare-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MMM of Florida | Medicare-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MMM of Florida | Medicare | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MMM of Florida | Medicare | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MMM of Florida | Medicare-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MMM of Florida | Medicare | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MMM of Florida | Medicare | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MMM of Florida | Medicare-Ped | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MMM of Florida | Medicare | $1.56 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | Surefit Benefit Plan | $1.63 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Qualified Health Plan | $1.63 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Qualified Health Plan | $1.63 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | Surefit Benefit Plan | $1.63 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | Surefit Benefit Plan | $1.63 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna | Qualified Health Plan | $1.63 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Blue Cross PPC | Blue Choice | $1.66 | $6.25 | — | 2025-07-30 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $1.73 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Blue Select-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Benefit Plan | $1.73 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Benefit Plan | $1.73 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Benefit Plan | $1.73 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BLUE SELECT | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $1.73 | $6.25 | — | 2025-07-30 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.80 | $2.00 | $1.40 | 2025-07-17 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $1.83 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $1.83 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $1.85 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Blue Cross PHS | ALL PRODUCTS | $1.90 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Exchange | $1.92 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Select Network | $1.92 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Exchange | $1.92 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Select Network | $1.92 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Exchange | $1.92 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Select Network | $1.92 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County Govt. CCP | ACHN | $1.94 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Broward County Govt. CCP | ACHN | $1.94 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County Govt. CCP | ACHN | $1.94 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Broward County Govt. CCP | ACHN | $1.94 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Broward County Govt. CCP | ACHN | $1.94 | $6.25 | — | 2025-07-30 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $1.96 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Traditional Medicare Facility | Traditional Medicare Facility | $1.96 | $7,298.00 | $7,298.00 | 2026-07-15 | 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 ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Employers Health Network | Commercial | $2.00 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $2.00 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Medicaid Other | Medicaid Other | $2.00 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $2.00 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Medicaid | Pa Medicaid | $2.00 | $9,196.00 | $2,207.04 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $2.00 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Medicaid | Medicaid | $2.00 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Employers Health Network | Commercial | $2.00 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $2.00 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Medicaid | Medicaid Non Par Pa | $2.00 | $9,196.00 | $2,207.04 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $2.00 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $2.06 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $2.06 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Employers Health Network | Commercial | $2.06 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $2.09 | $13.00 | $13.00 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $2.09 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $2.10 | $7,298.00 | $7,298.00 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Pa Health & Wellness Medicaid | Pa Health Wellness Medicaid | $2.10 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $2.16 | $13.00 | $13.00 | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $2.16 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $2.16 | $13.00 | $2,919.60 | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Employers Health Network | ACHN | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | HUMANA | Medicaid-Transplant | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | HUMANA | Medicaid-Transplant | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Employers Health Network | ACHN | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Health Value Management | Transplants - Medicaid | $2.19 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | HUMANA | Medicaid-Transplant | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Employers Health Network | ACHN | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Employers Health Network | ACHN | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Health Value Management | Transplants - Medicare | $2.19 | $6.25 | $4.38 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | HUMANA | Medicaid-Transplant | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | HUMANA | Medicaid-Transplant | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Employers Health Network | ACHN | $2.19 | $6.25 | — | 2025-07-30 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Amerihealth | Amerihealth | $2.20 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Gateway | Gateway Medicaid | $2.20 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Upmc | Upmc For You | $2.20 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Health Partners Plans Medicaid | Health Partners Plans Medicaid | $2.20 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Better Health | $2.20 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid Pa | $2.20 | $9,196.00 | $2,207.04 | 2026-07-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Blue Cross PPC | Blue Choice | $2.21 | $6.25 | — | 2025-07-30 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $5,373.00 | — | 2025-06-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | OptumHealth Care Solutions | All Products-Transplant | $2.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | OptumHealth Care Solutions | All Products-Transplant | $2.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | OptumHealth Care Solutions | All Products-Transplant | $2.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | OptumHealth Care Solutions | All Products-Transplant | $2.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | OptumHealth Care Solutions | All Products-Transplant | $2.25 | $6.25 | — | 2025-07-30 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Medicaid | $2.30 | $9,928.97 | $9,928.97 | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | United Health Care | Uhc Community Plan | $2.30 | $9,196.00 | $2,207.04 | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Aetna | Abh Coventry Cares Medicaid Pa | $2.30 | $9,196.00 | $2,207.04 | 2026-07-15 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $2.41 | $13.00 | $2,919.60 | 2025-12-31 | 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.