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Donor DNA Transplant Monitoring Test

Pennsylvania rates for HCPCS 0118U

Monitors a transplanted organ for signs of rejection using a blood sample. It measures what fraction of the DNA in the plasma came from the donated organ; a rising fraction suggests the organ is being damaged. Unlike biopsy-based rejection tests, it does not need tissue.

Rates data updated July 2026.

How much does Donor DNA Transplant Monitoring Test cost?

$2,188

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $3,802 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$457 to $2,570
FacilityA hospital or hospital-owned outpatient department$3,802$2,455 to $6,918

How much rates vary

Facilitymedian $3,802 · 10th to 90th $933 to $10,233Professionalmedian $1,660 · 10th to 90th $457 to $3,311
$500$1K$2K$5K$10Kfacility $3,802professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$4,265.80
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$2,570.40
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,265.80
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,981.07
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,570.88
Typical High
$6,918.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$4,265.80
Typical High
$10,232.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$2,187.76
Typical High
$9,772.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$6,760.83
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$3,715.35

Where Pennsylvania sits

The same service costs 13.5 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 29th of 51

$2,188

AK $6,166VT $457

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.