81465 — Whole Mitochondrial Genome
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). WHOLE MITOCHONDRIAL GENOME (HCPCS 81465) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81465?code_type=HCPCS
MLA (9th ed.)
“WHOLE MITOCHONDRIAL GENOME (HCPCS 81465) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81465?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“WHOLE MITOCHONDRIAL GENOME (HCPCS 81465) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81465?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $753–$1,404 (25th–75th percentile) across 1,746 hospitals · 2,998 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81465 — 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
$753
$936 typical
$1,404
The middle 50% of negotiated facility rates for this procedure, measured across 1,746 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $936 |
| Likely subtotal | $936 |
Facility charge (no separate professional fee)
$936
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 $753–$1,404.
- 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 OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4,740.00 | — | 2026-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina - Cal Medi-Connect | $0.71 | $400.00 | $300.00 | 2026-04-01 | 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | 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 | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $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 ↗ |
| 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 | BLUE OPTIONS/BLUE PRECISION | $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 ↗ |
| SIERRA MEDICAL CENTER 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 | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | 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 ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $2,808.00 | $936.00 | 2026-09-05 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | 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 HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $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 ↗ |
| SIERRA MEDICAL CENTER 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 | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | 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 | 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 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 BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | 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 ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | County Medical Services | County of San Diego | $1.28 | $400.00 | $300.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - HMO | $1.42 | $400.00 | $300.00 | 2026-04-01 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | INTEGRITY ADMIN INC-ALL PLANS | INTEGRITY ADMIN INC-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | UMR-ALL PLANS | UMR-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | WEB-TPA-ALL PLANS | WEB-TPA-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | EMBS-ALL PLANS | EMBS-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | FIRST CHOICE-BMI-ALL PLANS | FIRST CHOICE-BMI-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | MERITAIN-ALL PLANS | MERITAIN-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | MRF ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $1.84 | $2.00 | $2.00 | 2026-03-04 | 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 ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - HMO | $2.16 | $400.00 | $300.00 | 2026-04-01 | 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 | 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 ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $3.97 | — | — | 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 | 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 ↗ |
| 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 | BCBS MYBLUE HEALTH | $4.66 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $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 ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $5.22 | — | — | 2026-02-19 | 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 ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - PPO | $5.51 | $400.00 | $300.00 | 2026-04-01 | 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 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 ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $9.40 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Ppo/Pos | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Hmo | $9.55 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $30.43 | $19.78 | 2025-11-26 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - Promise | $11.02 | $400.00 | $300.00 | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA IFP PPO VALUE NETWORK | $12.79 | — | — | 2026-09-02 | MRF ↗ |
| 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 ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Cigna | Commercial | $15.00 | $22.00 | $20.00 | 2026-01-20 | 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 ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | CIGNA | CIGNA COMMERCIAL | $17.40 | $30.00 | $12.00 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | CIGNA | CIGNA COMMERCIAL | $17.40 | $30.00 | $12.00 | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Aetna | Preferred Other Commercial Plan | $17.74 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER 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 ↗ |
| ALASKA NATIVE MEDICAL CENTER Outpatient | PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $18.72 | $2.00 | $2.00 | 2026-03-04 | 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 ↗ |
| ROY LESTER SCHNEIDER HOSPITAL,THE Outpatient | Aetna Global | Commercial | $20.00 | $22.00 | $20.00 | 2026-01-20 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Passport | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Alternative | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Pediatric | HMO/PPO/Traditional | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare Pediatric | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Alternative | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Wellcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $23.27 | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $23.27 | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $23.27 | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Passport | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Senior | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Cigna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Humana Medicaid | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna Alternative | Commercial | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare Adult | Commercial | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | SIHO | Commercial | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $23.27 | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $23.27 | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $141.00 | $28.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Wellcare | Medicare Advantage | — | $141.00 | $28.20 | 2026-02-13 | 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.