82075 — Assay Of Breath Ethanol
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ASSAY OF BREATH ETHANOL (CPT 82075) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/82075?code_type=CPT
MLA (9th ed.)
“ASSAY OF BREATH ETHANOL (CPT 82075) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/82075?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ASSAY OF BREATH ETHANOL (CPT 82075) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/82075?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30–$59 (25th–75th percentile) across 2,339 hospitals · 5,203 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 82075 — 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
$30
$35 typical
$59
The middle 50% of negotiated facility rates for this procedure, measured across 2,339 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $35 |
| Likely subtotal | $35 |
Facility charge (no separate professional fee)
$35
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 $30–$59.
- 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 | EmblemHealth | CBP | — | $67.00 | $56.95 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $67.00 | $56.95 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $81.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $156.00 | $78.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $156.00 | $78.00 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $81.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $81.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $81.00 | — | 2025-05-02 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | STARMARK [5240] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $0.03 | $30.00 | $2.10 | 2026-01-25 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Aetna | Aetna | $0.03 | $141.00 | $33.84 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna | OPN Commercial | $0.03 | $83.00 | $62.25 | 2025-05-16 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Aetna | Rental Network | $0.03 | — | — | 2026-07-19 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna | Commercial | $0.03 | $83.00 | $62.25 | 2025-05-16 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | NewBusiness | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA [5002] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | COMM | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $0.03 | $70.00 | $30.80 | 2026-08-17 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Outpatient | CHH Aetna Commercial | CHH Aetna Commercial | $0.03 | $35.00 | $35.00 | 2025-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BANNER HEALTH NETWORK [5510] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA [5002] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA [5002] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | BOON-CHAPMAN [5441] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH BENEFITS [5483] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Aetna | Hmo/Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | STARMARK [5240] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MARPAI HEALTH [5449] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | STARMARK [5240] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Aetna | Hmo/Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BANNER HEALTH NETWORK [5510] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Aetna | Aetna | $0.03 | $114.00 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA BEHAVIORAL HEALTH [5321] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Aetna | Hmo/Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA [5002] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MERITAIN HEALTH [5185] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| CLINTON REGIONAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | NIPPON BENEFIT LIFE [5201] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CONTINENTAL ASSURANCE [5091] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | Meritain | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH BENEFITS [5483] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MARPAI HEALTH [5449] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ALLIED BENEFIT SYSTEMS [5046] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | NIPPON BENEFIT LIFE [5201] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CONTINENTAL ASSURANCE [5091] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | STARMARK [5240] | MMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BEHAVIORAL HEALTH [5321] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | STARMARK [5240] | CMC AETNA | $0.03 | $5,632.00 | $1,201.83 | 2026-04-01 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Aetna Health | PPO_HMO_EPO | $0.03 | — | — | 2026-03-27 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | STARMARK [5240] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CHRISTIAN BROTHERS SERVICES [5439] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HEALTHSMART BENEFIT SOLUTIONS [5446] | MMC AETNA | $0.03 | $120.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | BOON-CHAPMAN [5441] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | 1199 SEIU BENEFIT AND PENSION [5037] | NMC AETNA | $0.03 | $123.00 | $34.50 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA [5002] | NMC AETNA | $0.03 | $5,632.00 | $1,045.07 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA | $0.03 | $106.00 | $34.50 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | WEBTPA | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AETNA | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AETNA EAP | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Aetna | OON | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Aetna | All Commercial Plans | $0.04 | $208.00 | $52.00 | 2026-07-17 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE ALASKA MEDICAL CENTER OutpatientFacility | Aetna | Active Other Commercial Plan | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MERCYHEALTH HOSPITAL & PHYSICIAN CLINIC-CRYSTAL LA OutpatientFacility | Aetna | All Commercial Plans | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $0.04 | $311.00 | $202.15 | 2026-03-31 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $0.04 | $60.50 | $42.35 | 2026-01-01 | 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.