81519 — Oncology Breast Mrna
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ONCOLOGY BREAST MRNA (HCPCS 81519) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81519?code_type=HCPCS
MLA (9th ed.)
“ONCOLOGY BREAST MRNA (HCPCS 81519) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81519?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ONCOLOGY BREAST MRNA (HCPCS 81519) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81519?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,873–$6,834 (25th–75th percentile) across 1,712 hospitals · 2,338 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81519 — 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
$3,873
$4,067 typical
$6,834
The middle 50% of negotiated facility rates for this procedure, measured across 1,712 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,067 |
| Likely subtotal | $4,067 |
Facility charge (no separate professional fee)
$4,067
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 $3,873–$6,834.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN 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 | $19,610.00 | — | 2026-07-01 | 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 | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $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 | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA QPIC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SPP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF FLORIDA | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA COMMERCIAL | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | 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 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA ACO NETWORK | $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 ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| 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 ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL 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 | 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 | 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 ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | $6.83 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Amerihealth | Managed Medicaid | $6.83 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Carolina Complete | Managed Medicaid | $6.83 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Wellcare | Managed Medicaid | $6.83 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Carolina Complete | Managed Medicaid | $8.25 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Amerihealth | Managed Medicaid | $8.25 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Wellcare | Managed Medicaid | $8.25 | $46.00 | $17.48 | 2026-07-15 | 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 ↗ |
| 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 ↗ |
| WAKEMED, RALEIGH CAMPUS Inpatient | Bcbs | Commercial | $10.76 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Inpatient | Bcbs | Commercial | $10.76 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA IFP PPO VALUE NETWORK | $12.79 | — | — | 2026-09-02 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | $13.52 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | $13.52 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA HMO | $14.96 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA PPO | $15.74 | — | — | 2026-09-02 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Ambetter | Exchange | $16.68 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cary - Ambetter | Exchange | $17.45 | $46.00 | $17.48 | 2026-07-15 | 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PPO OTHER PAYOR | $18.89 | — | — | 2026-09-02 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | $20.70 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | $20.70 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | First Health | Coventry Carelink | $21.16 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | First Health | Coventry Carelink | $21.16 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $21.92 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $21.92 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $21.92 | — | — | 2026-04-01 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Bcbs | Commercial | $22.91 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Bcbs | Commercial | $22.91 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | $23.00 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | $23.00 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Magellan | Managed Medicaid | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | PacificSource | All Commercial Plans | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | United Healthcare | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Premera | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Molina Healthcare of Idaho | MMCP | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Blue Cross of Idaho | All Commercial Plans | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | PacificSource | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Molina Healthcare of Idaho | IMPlus | $23.14 | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Regence Blue Shield of Idaho | All Commercial Plans | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Group Health/Kaiser | All Plans | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Regence Blue Shield of Idaho | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Molina Healthcare of Washington | Apple Health | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Humana/Choice Care | Medicare Advantage | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Blue Cross Blue Shield of Montana | All Plans | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Wellpoint | All Plans | — | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $23.43 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | $23.46 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | $23.46 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $24.78 | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | PPO | $24.96 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | $24.96 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $25.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $26.02 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Apex Health | MCR | $26.86 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $26.86 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Pruitt Health (AllyAlign) | MCR | $26.86 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| LOGAN HEALTH - SHELBY OutpatientFacility | Bcbs | Ppo | $27.70 | — | — | 2026-04-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $27.84 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Inpatient | Aetna | Hmo Ppo | $28.06 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Inpatient | Aetna | Hmo Ppo | $28.06 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Apex Health | MCR | $28.74 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Pruitt Health (AllyAlign) | MCR | $28.74 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $28.74 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $28.98 | — | — | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $30.00 | $840.32 | $504.19 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $30.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $30.00 | $840.32 | $504.19 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $30.00 | $840.32 | $504.19 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Hmo Ppo | $31.28 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Hmo Ppo | $31.28 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $32.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $32.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $32.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $32.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Molina Healthcare of Idaho | IMPlus | $32.93 | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Inpatient | Medcost | Commercial | $33.12 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Inpatient | Medcost | Commercial | $33.12 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Medcost | Commercial | $34.50 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Medcost | Commercial | $34.50 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Commercial | $35.00 | $840.32 | $504.19 | 2026-02-18 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $35.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | United Healthcare | Commercial | $35.00 | $840.32 | $504.19 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $35.00 | $840.32 | $504.19 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $35.00 | $840.32 | $504.19 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | United Healthcare | Commercial | $35.00 | $840.32 | $504.19 | 2026-02-20 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Humana | TRICARE | $35.34 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $36.00 | $840.32 | $504.19 | 2026-06-13 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Inpatient | Phcs | Commercial | $36.80 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Inpatient | Phcs | Commercial | $36.80 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Humana | TRICARE | $37.81 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Inpatient | First Health | Commercial | $40.48 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Inpatient | First Health | Commercial | $40.48 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Inpatient | Multiplan | Commercial | $41.40 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Inpatient | Multiplan | Commercial | $41.40 | $46.00 | $17.48 | 2026-07-15 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | United | OptionsPPO | $41.98 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | United | OptionsPPO | $44.92 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Cigna | PPO | $46.08 | $141.35 | $141.35 | 2026-03-12 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | $14,526.00 | — | 2026-04-01 | MRF ↗ |
| MEMORIAL MEDICAL CENTER OutpatientFacility | UHC | UHC | $49.00 | — | — | 2026-07-10 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc | $49.00 | $24,125.85 | $14,475.51 | 2026-05-18 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc | $49.00 | $24,125.85 | $14,475.51 | 2026-05-23 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Cigna | PPO | $49.30 | $151.24 | $151.24 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UPMC COLE OutpatientFacility | United Healthcare | Commercial | $53.00 | $19,366.00 | $11,619.60 | 2026-03-06 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Premera | All Commercial Plans | $54.20 | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH InpatientFacility | Premera | All Commercial Plans | $55.00 | $89.00 | $66.75 | 2026-03-27 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $56.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $56.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health | WC | $57.60 | — | — | 2024-10-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.