81460 — Whole Mitochondrial Genome
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). WHOLE MITOCHONDRIAL GENOME (HCPCS 81460) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81460?code_type=HCPCS
MLA (9th ed.)
“WHOLE MITOCHONDRIAL GENOME (HCPCS 81460) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81460?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“WHOLE MITOCHONDRIAL GENOME (HCPCS 81460) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81460?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,102–$1,866 (25th–75th percentile) across 1,823 hospitals · 3,328 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81460 — 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
$1,102
$1,313 typical
$1,866
The middle 50% of negotiated facility rates for this procedure, measured across 1,823 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,313 |
| Likely subtotal | $1,313 |
Facility charge (no separate professional fee)
$1,313
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 $1,102–$1,866.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 | — | $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 ↗ |
| 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 | $2,000.00 | $1,500.00 | 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 | $2,000.00 | $1,500.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $2,000.00 | $1,500.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | WELLPOINT | WELLPOINT MEDICAID TENNCARE FKA AMERIGROUP | $0.35 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $3,981.00 | $2,985.75 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $6,518.00 | — | 2026-07-01 | 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 ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $0.98 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Traditional Medicare Facility | Traditional Medicare Facility | $0.98 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $1.00 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $1.00 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $3,861.00 | $1,287.00 | 2026-09-05 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | $2,000.00 | $1,500.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $1.00 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | $2,000.00 | $1,500.00 | 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 | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $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 TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS 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 OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $1.00 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COVER TN | $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 ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE - HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $1.00 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE - PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HEALTH PLAN OF TENNESSEE-RPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER 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 | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE PPOX | $1.03 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE | $1.03 | — | — | 2026-09-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $1.03 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $1.03 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | — | — | 2026-05-20 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $1.05 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | — | — | 2026-05-20 | 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 BLUE CARE NETWORK | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $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 ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $1.25 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Exchange Facility | Mhs Exchange Facility | $1.65 | $3,218.00 | $3,218.00 | 2026-07-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $1.80 | $3,218.00 | $3,218.00 | 2026-07-15 | 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 ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICECARE PPO | $2.04 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICECARE POS | $2.04 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.41 | — | — | 2026-09-01 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.41 | — | — | 2026-09-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $2.75 | $2,416.00 | $1,691.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $2.75 | $2,416.00 | $1,691.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $2.75 | $2,416.00 | $1,691.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $2.75 | $2,416.00 | $1,691.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $2.75 | $2,416.00 | $1,691.20 | 2025-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $2.87 | — | — | 2026-09-01 | 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 | AETNA-ALL OTHER PLANS | AETNA-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 ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $3.97 | $3,981.00 | $2,985.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $30.43 | $19.78 | 2025-11-26 | 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 ↗ |
| 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 | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL 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 Inpatient | Kaiser Foundation Hospitals | HMO | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $30.43 | $19.78 | 2025-11-26 | 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 ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD IFP EPN | $5.90 | — | — | 2026-09-02 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | PacificSource | All Commercial Plans | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | United Healthcare | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Blue Cross Blue Shield of Montana | All Plans | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Regence Blue Shield of Idaho | All Commercial Plans | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Molina Healthcare of Idaho | MMCP | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Regence Blue Shield of Idaho | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Wellpoint | All Plans | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Molina Healthcare of Washington | Apple Health | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Premera | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Molina Healthcare of Idaho | IMPlus | $6.50 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Group Health/Kaiser | All Plans | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Humana/Choice Care | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | PacificSource | Medicare Advantage | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Blue Cross of Idaho | All Commercial Plans | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Magellan | Managed Medicaid | — | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $7.82 | — | — | 2026-02-19 | 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 ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Bcbs - Tx | Advantage Hmo | $8.14 | — | — | 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 ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Bcbs - Tx | Hmo | $8.82 | — | — | 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 ↗ |
| KOOTENAI HEALTH OutpatientFacility | Molina Healthcare of Idaho | IMPlus | $9.25 | $25.00 | $18.75 | 2026-03-27 | 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 Ppo | Ppo | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $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 ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Bcbs - Tx | Ppo | $10.05 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Bcbs - Tx | Traditional | $10.05 | — | — | 2026-04-01 | 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 | — | — | 2026-07-29 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA HMO | $14.96 | — | — | 2026-09-02 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Cigna | Commercial | $15.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Premera | All Commercial Plans | $15.23 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Premera | All Commercial Plans | $15.45 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - MCS | $15.57 | $570.00 | $427.50 | 2026-04-01 | 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 ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Blue Cross Blue Shield | Commercial | $16.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | United Healthcare | Commercial | $16.00 | $22.00 | $20.00 | 2026-01-20 | 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 ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Medical Card Systems (MCS) | Commercial | $18.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Blue Cross of Idaho | All Commercial Plans | $18.48 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PPO OTHER PAYOR | $18.89 | — | — | 2026-09-02 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | MAPFRE | Commercial | $19.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Mountain Health Co-Op | All Plans | $19.38 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Allianz Global Assistance | AZGA Services Canada | $19.75 | $570.00 | $427.50 | 2026-04-01 | MRF ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Aetna Global | Commercial | $20.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City of LA Other Commercial Plan | $20.06 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $20.06 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $20.06 | — | — | 2026-04-01 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Cigna | All Plans | $20.48 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Aetna | All Commercial Plans | $20.75 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Cigna | All Plans | $20.78 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | United Healthcare | All Commercial Plans | $21.25 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Interwest Health | All Plans | $21.25 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | First Choice Health (Ameriben) | All Plans | $21.33 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | First Choice Health (Ameriben) | All Plans | $21.65 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | United Healthcare | All Commercial Plans | $22.50 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Blue Cross Blue Shield of Montana | All Plans | $22.50 | $25.00 | $18.75 | 2026-03-27 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-18 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $24.00 | $4,856.30 | $2,913.78 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $25.00 | $798.00 | $478.80 | 2026-02-21 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna | Medicare Advantage | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Passport | Managed Medicaid | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Passport | Managed Medicaid | — | $166.00 | $33.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $166.00 | $33.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $166.00 | $33.20 | 2026-02-11 | 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.