404 — Hc PET Scan Myoc Perf Study Sgl
Cite this view
HANK Price Transparency. (n.d.). HC PET SCAN MYOC PERF STUDY SGL (OTHER 404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/404?code_type=OTHER
“HC PET SCAN MYOC PERF STUDY SGL (OTHER 404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/404?code_type=OTHER. Accessed .
“HC PET SCAN MYOC PERF STUDY SGL (OTHER 404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/404?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,120–$11,959 (25th–75th percentile) across 149 hospitals · 397 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 404 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $0.87 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $0.87 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Oklahoma Complete Health Mcd Rep | Medicaid Replacement | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicare B Ok Jh | Default | $0.96 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicare A Ok Jh | Default | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Aetna Medicare Advantage | Medicare Advantage | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $0.96 | $50.00 | $50.00 | 2026-05-13 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Humana Mcd Rep | Medicaid Replacement | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $0.96 | $50.00 | $50.00 | 2026-05-22 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Aetna Better Health Ok | Medicaid Replacement | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Uhc Medicare Solution | Medicare Advantage | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicaid Oklahoma | Default | — | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $1.00 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $1.05 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $1.05 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $1.05 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Medicaid/Chp | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Vt Commercial/Vt Exchange | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Health New England | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cigna | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Uhc | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Allegiance | Swvt Employee Only | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Vt Commercial/Vt Exchange | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cigna | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Uhc | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Three Rivers | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Three Rivers | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Harvard Pilgrim | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Exchange Individual Plans | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Blue Cross | All Vermont Plans | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Multiplan | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Tufts | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Tufts | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Commercial/ Exchange Group Plans | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Commercial/ Exchange Group Plans | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Commercial/Exchange | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Health New England | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Exchange Individual Plans | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Aetna | Ppo | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Aetna | Ppo | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Multiplan | Commercial | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Harvard Pilgrim | Commercial | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Commercial/Exchange | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Allegiance | Swvt Employee Only | — | $2.31 | $1.62 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Blue Cross | All Vermont Plans | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Medicaid/Chp | — | $2.31 | $1.62 | 2026-05-22 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $1.76 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Healtheos | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Ppom | Cofinity | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Priority Health | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | First Health | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Bcbs | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Uphg | Tpa | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | United | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Michigan W/C | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Health Alliance | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Aetna | Commercial | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Cigna | General | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Aetna | Funding Advantage | — | $5.00 | $2.85 | 2026-05-09 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Oscar Health | Default | — | $11.00 | $7.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Cigna | Default | — | $11.00 | $7.00 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna | Default | — | $11.00 | $7.00 | 2026-05-08 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Aetna | Default | $3.75 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Hennepin Health | Hennepin Health Professional | $4.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pathology Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Behavioral Health Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Audiology Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Multispecialty Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Radiology Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Heart Clinic Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Pathology Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Heart Clinic Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Radiology Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Behavioral Health Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Multispecialty Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Fep Audiology Professional | $4.40 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $4.56 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $4.59 | — | — | 2026-05-06 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | America'S Ppo | Americas Ppo Professional | $5.36 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $6.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $6.44 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $6.44 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $6.44 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $6.44 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $6.44 | — | — | 2026-05-07 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Amerigroup | Medicaid | $6.67 | $20.75 | $12.45 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Peachstate Medicaid | Medicaid | $6.67 | $20.75 | $12.45 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Medicaid | Medicaid | $6.67 | $20.75 | $12.45 | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $6.69 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $6.76 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $6.76 | — | — | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Wellcare Medicaid | Medicaid | $6.87 | $20.75 | $12.45 | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $6.89 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $6.95 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $6.95 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $6.95 | — | — | 2026-05-07 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $7.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $7.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $7.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $7.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $7.08 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $7.08 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $7.72 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $7.72 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $7.72 | — | — | 2026-05-07 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medicare Professional | Medicare Professional | $7.87 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Narrow Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | United Health | United Health Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Specialty Clinics Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Emergency Physicians Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pmap Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Primary Care Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Multiplan Inc | Multiplan Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Ucare | Ucare Pmap Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Elect Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Ifb Mhps Aco | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Ucare Minnesota | Ucare Qhp Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Tricare | Tricare Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Wi Ma Professional | Wi Ma Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Allina Health And Aetna Insurance Company | Allina Aetna Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $8.00 | — | — | 2026-05-13 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Choice Professional | $8.00 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $8.00 | — | — | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $9.19 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $9.19 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $9.19 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $9.28 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $9.28 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $9.28 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $9.28 | — | — | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $9.37 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $9.46 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Wellcare | Medicaid | $9.56 | — | — | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Minnesota Medicaid | Minnesota Medicaid Professional | $9.62 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | South Country | South Country Professional | $9.62 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Primewest Professional | Primewest Professional | $9.62 | $8.00 | $8.00 | 2026-05-14 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $9.65 | $47.50 | $33.73 | 2026-05-08 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $11.84 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $11.84 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $11.84 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $12.20 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $12.20 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $12.20 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $12.20 | — | — | 2026-05-22 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $14.45 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicaid | All Plans | $14.45 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $14.45 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicaid | All Plans | $14.45 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $14.45 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $14.45 | — | — | 2026-05-23 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Mgb | Mass Health | $14.57 | — | — | 2026-05-13 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $16.51 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $16.51 | — | — | 2026-05-23 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Bcbs | Commercial | $16.61 | $20.75 | $12.45 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $16.78 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $16.78 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $16.78 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $16.78 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $16.78 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $16.78 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $16.78 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $16.78 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $16.78 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $16.78 | — | — | 2026-05-22 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $16.97 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $16.97 | — | — | 2026-05-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Devoted Healthcare | Medicare Advantage | $17.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| EMERSON HOSPITAL - Both | Medicaid | — | $17.08 | — | — | 2026-05-08 | MRF ↗ |
| EMERSON HOSPITAL - Both | Tufts Health Public Plan | Masshealth | $17.08 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross Federal | Commercial | $17.27 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross All Kids | Medicaid | $17.27 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross Pmd Rmc Employee | Commercial | $17.27 | — | — | 2026-05-08 | 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.