78130 — Red Cell Survival Study
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RED CELL SURVIVAL STUDY (CPT 78130) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78130?code_type=CPT
MLA (9th ed.)
“RED CELL SURVIVAL STUDY (CPT 78130) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78130?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RED CELL SURVIVAL STUDY (CPT 78130) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78130?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $175–$555 (25th–75th percentile) across 1,636 hospitals · 2,386 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78130 — 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 the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$175
$401 typical
$555
The middle 50% of negotiated facility rates for this procedure, measured across 1,636 hospitals. The radiologist-read fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $401 |
| Radiologist read Estimate national typical Medicare $24 × 1.8 commercial. | $43 |
| Likely subtotal | $444 |
Complete-episode estimate (typical)
~$444
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 $175–$555.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
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 BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HIGH PERFORMANCE NETWORK | $0.50 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS OUT OF STATE | $0.50 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HMO BLUE | $0.50 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS INDEMNITY | $0.50 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS PREFERRED PROVIDER ARRANGEMENT | $0.50 | — | — | 2026-06-05 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $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 HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $1.00 | $3.00 | $2.00 | 2025-06-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $1.00 | $3.00 | $2.00 | 2025-06-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $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 | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $1.00 | $3.00 | $2.00 | 2025-06-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $1,479.00 | $1,109.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA ACO NETWORK | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA ACO NETWORK | $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 ↗ |
| ST MARY'S MEDICAL CENTER 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 ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $2.00 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $2.00 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $2.05 | $1,241.00 | $384.71 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $2.05 | $1,241.00 | $384.71 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $2.05 | $1,241.00 | $384.71 | 2025-12-23 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.62 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.75 | — | — | 2026-05-06 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $3.00 | $3.00 | $2.00 | 2025-06-11 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $3.00 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | Nebraska Total Care | Commercial | $3.00 | $3.00 | $3.00 | 2025-06-17 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | Coventry | Commercial | $3.00 | $3.00 | $3.00 | 2025-06-17 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $3.00 | $3.00 | $2.00 | 2025-06-11 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | $3.00 | $3.00 | $3.00 | 2025-06-17 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Provider Network of America | Commercial | $3.00 | $3.00 | $2.00 | 2025-06-11 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | BCBS of Nebraska | Commercial | $3.00 | $3.00 | $3.00 | 2025-06-17 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $3.70 | — | — | 2026-07-15 | MRF ↗ |
| Carolinas Continuecare Hospital At Pineville Outpatient | Primary Physician Care | Commercial | $4.00 | $5.00 | $5.00 | 2025-11-25 | MRF ↗ |
| Carolinas Continuecare Hospital At Pineville Outpatient | MultiPlan | PPO | $4.00 | $5.00 | $5.00 | 2025-11-25 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $4.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $4.00 | $5.00 | $5.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $4.00 | $5.00 | $5.00 | 2026-03-31 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $4.06 | — | — | 2026-07-15 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Medicare Advantage | $5.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $5.00 | $50.00 | $50.00 | 2025-11-06 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-31 | MRF ↗ |
| Carolinas Continuecare Hospital At Pineville Outpatient | Blue Cross and Blue Shield of North Carolina | Medicare Advantage | $5.00 | $5.00 | $5.00 | 2025-11-25 | MRF ↗ |
| IRAAN GENERAL HOSPITAL Outpatient | Cigna | Commercial | $5.00 | $23.00 | $16.00 | 2026-01-22 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.89 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.89 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.89 | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.89 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.89 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.89 | — | — | 2024-12-10 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | United Healthcare | Medicare Advantage | $7.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | HMO | $7.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | NextBlue | Medicare Advantage | $7.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | Commercial | $8.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $8.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | The First Health Network | Commercial | $8.00 | $50.00 | $50.00 | 2025-11-06 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | PPO | $8.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Humana | PPO | $8.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $8.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $9.00 | $39.00 | $27.00 | 2026-05-15 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $9.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Amerigroup Texas | Medicare Advantage | $9.00 | $39.00 | $27.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $9.00 | $39.00 | $27.00 | 2026-05-15 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $10.00 | $22.00 | $17.00 | 2026-05-05 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $10.00 | $50.00 | $33.00 | 2026-05-27 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $10.66 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $10.66 | — | — | 2024-10-01 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage PPO | $11.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage HMO | $11.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicare Advantage | $11.00 | $11.00 | $11.00 | 2026-01-16 | MRF ↗ |
| Continuecare Hospital At Baptist Health Corbin Outpatient | Anthem | Healthlink | $11.00 | $15.00 | $15.00 | 2025-11-25 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.60 | — | — | 2026-03-18 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $11.67 | $127.00 | $38.10 | 2026-07-15 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.68 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.68 | — | — | 2026-03-18 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Aetna | Commercial | $12.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $12.70 | $127.00 | $38.10 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $12.83 | $127.00 | $38.10 | 2026-07-15 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Medicare Advantage | $13.00 | $23.00 | $20.00 | 2026-04-28 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Provider Network of America | Commercial | $13.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $13.00 | $22.00 | $17.00 | 2026-05-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $13.30 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $13.38 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $13.38 | — | — | 2026-03-18 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | First Choice Health | Commercial | $14.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $14.00 | $22.00 | $17.00 | 2026-05-05 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $14.00 | $36.00 | $27.00 | 2026-08-27 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $14.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $14.57 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $14.57 | — | — | 2026-03-18 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Aetna | Commercial | $15.00 | $30.00 | $30.00 | 2025-11-19 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Essentials | $15.00 | $22.00 | $17.00 | 2026-05-05 | MRF ↗ |
| Continuecare Hospital At Baptist Health Paducah Outpatient | United Healthcare | Commercial | $15.00 | $15.00 | $15.00 | 2025-11-25 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $15.00 | $22.00 | $17.00 | 2026-05-05 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Health Partners | Commercial | $15.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Humana | Choice Care | $15.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Sanford Health Plan | Commercial | $15.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $15.34 | $58.00 | $58.00 | 2026-03-23 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HPN | $15.39 | — | — | 2024-10-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $15.65 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $15.65 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $15.65 | — | — | 2024-07-01 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Blue Cross Blue Shield | PPO | $16.00 | $16.00 | $14.00 | 2025-08-27 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $16.22 | $127.00 | $38.10 | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $16.31 | $74.00 | $51.80 | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $16.47 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $16.47 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $16.47 | — | — | 2024-07-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $16.74 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $16.74 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $16.74 | $108.00 | $58.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Adult | $16.74 | $108.00 | $58.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $16.74 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $16.74 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $16.74 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $16.74 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $16.87 | — | — | 2026-02-19 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $16.87 | $58.00 | $58.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $16.87 | $58.00 | $58.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $16.87 | $58.00 | $58.00 | 2026-03-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $16.88 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $17.00 | — | — | 2026-07-18 | MRF ↗ |
| Continuecare Hospital At Medical Center Odessa Outpatient | Blue Cross Blue Shield of Texas | Commercial | $17.00 | $15.00 | $15.00 | 2025-11-25 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Military East | $17.32 | $108.00 | $58.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | $17.32 | $108.00 | $58.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | $17.32 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $17.32 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $17.32 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Military East | $17.32 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | $17.32 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Military East | $17.32 | $108.00 | $31.32 | 2025-10-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $17.33 | — | — | 2026-10-12 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $17.39 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $17.39 | — | — | 2026-07-18 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $17.45 | $104.00 | $62.40 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $17.45 | $104.00 | $62.40 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $17.45 | $104.00 | $62.40 | 2026-09-21 | 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.