81517 — Liver Ds Alys 3 Bmrk Srm Alg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LIVER DS ALYS 3 BMRK SRM ALG (CPT 81517) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81517?code_type=CPT
MLA (9th ed.)
“LIVER DS ALYS 3 BMRK SRM ALG (CPT 81517) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81517?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LIVER DS ALYS 3 BMRK SRM ALG (CPT 81517) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81517?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $176–$378 (25th–75th percentile) across 1,969 hospitals · 3,697 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81517 — 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
$176
$200 typical
$378
The middle 50% of negotiated facility rates for this procedure, measured across 1,969 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $200 |
| Likely subtotal | $200 |
Facility charge (no separate professional fee)
$200
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 $176–$378.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $881.00 | $748.85 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $881.00 | $748.85 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $881.00 | $748.85 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $881.00 | $748.85 | 2025-01-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $140.00 | $105.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $140.00 | $105.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $140.00 | $105.00 | 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 OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $893.00 | — | 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 ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,216.00 | $790.40 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $1,216.00 | $790.40 | 2026-06-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,717.00 | $1,287.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,717.00 | $1,287.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,717.00 | $1,287.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $4,701.00 | $3,525.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $4,701.00 | $3,525.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,717.00 | $1,287.75 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $440.48 | $176.19 | 2026-09-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $4,701.00 | $3,525.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,717.00 | $1,287.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $4,701.00 | $3,525.75 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $4,701.00 | $3,525.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $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 ↗ |
| 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 ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $1,216.00 | $790.40 | 2026-06-15 | 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 BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.98 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.98 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.98 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $4.56 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $4.56 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $4.56 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.97 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.97 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.97 | — | — | 2026-03-18 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $7.24 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $7.30 | — | — | 2026-02-19 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7.33 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7.33 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $7.33 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $8.19 | $340.00 | — | 2026-08-17 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $8.98 | $1,057.14 | $539.14 | 2025-01-10 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $9.01 | $340.00 | — | 2026-08-17 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $9.19 | — | — | 2026-03-18 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $9.66 | $340.00 | — | 2026-08-17 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HOSPICE [550001] | ERIE [55000101] | $10.00 | $335.00 | $335.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HOSPICE [550001] | ERIE [55000101] | $10.00 | $335.00 | $335.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HOSPICE [550001] | NIAGARA [55000102] | $10.00 | $335.00 | $335.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HOSPICE [550001] | NIAGARA [55000102] | $10.00 | $335.00 | $335.00 | 2026-04-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $1,020.00 | $24.67 | 2026-03-22 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $10.74 | $340.00 | — | 2026-08-17 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $11.09 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $11.09 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $12.01 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $12.01 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Optimum Healthcare | PFFS | $12.01 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Freedom Health Care | MGMGR | $12.01 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | AvMed | HIX | $12.32 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $12.33 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $12.33 | — | — | 2026-07-15 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $12.38 | $440.00 | $264.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $12.38 | $440.00 | $264.00 | 2026-02-12 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $14.28 | $185.00 | $185.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $14.28 | $185.00 | $185.00 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $14.28 | $185.00 | $185.00 | 2026-01-01 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $15.28 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $15.62 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | CMC WTC HEALTH PROGRAM | $15.85 | $1,070.00 | $279.50 | 2026-01-01 | MRF ↗ |
| HIALEAH HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $15.86 | $528.57 | $528.57 | 2026-07-15 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $17.28 | $576.14 | $576.14 | 2026-07-15 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $17.62 | $881.00 | $572.65 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $17.62 | $881.00 | $572.65 | 2025-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage HMO | $18.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $18.81 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $1,020.00 | $24.67 | 2026-03-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellMed | Commercial | $20.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Superior Health Plan | Commercial | $20.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Commercial | $20.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | MultiPlan | Commercial | $20.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $20.54 | $185.00 | $185.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | — | $185.00 | $185.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | — | $185.00 | $185.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $20.54 | $185.00 | $185.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $20.54 | $185.00 | $185.00 | 2026-04-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Amerigroup | MCD | $20.64 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Amerigroup | MCD | $20.64 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $20.94 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $20.94 | — | — | 2024-10-01 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $21.66 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $21.66 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $21.66 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $21.66 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $22.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $22.00 | $33.00 | $33.00 | 2025-11-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $22.80 | $114.00 | $68.40 | 2026-03-06 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Simply Healthcare | MGMCR | $23.72 | $154.00 | $154.00 | 2026-03-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Galaxy | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.82 | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Chn | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | First Mco | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Fidelis | Medicaid | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Qhp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Geisinger | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Qhp | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.82 | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.82 | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.82 | $2,013.00 | $201.30 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $2,013.00 | $201.30 | 2026-07-15 | 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.