78195 — Lymph System Imaging
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lymph system imaging (CPT 78195) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78195?code_type=CPT
MLA (9th ed.)
“Lymph system imaging (CPT 78195) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78195?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Lymph system imaging (CPT 78195) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78195?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $527–$1,616 (25th–75th percentile) across 3,060 hospitals · 9,708 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78195 — 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
$527
$825 typical
$1,616
The middle 50% of negotiated facility rates for this procedure, measured across 3,060 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. | $825 |
| Radiologist read Estimate national typical Medicare $53 × 1.8 commercial. | $96 |
| Likely subtotal | $921 |
Complete-episode estimate (typical)
~$921
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 $527–$1,616.
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 BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS PREFERRED PROVIDER ARRANGEMENT | $0.50 | $5,343.00 | $4,007.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HIGH PERFORMANCE NETWORK | $0.50 | $5,343.00 | $4,007.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HMO BLUE | $0.50 | $5,343.00 | $4,007.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS OUT OF STATE | $0.50 | $5,343.00 | $4,007.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS INDEMNITY | $0.50 | $5,343.00 | $4,007.25 | 2026-06-05 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4,068.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $3,714.00 | $2,414.10 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $3,714.00 | $2,414.10 | 2026-06-15 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,354.00 | $1,765.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,442.00 | $1,831.50 | 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 BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $5,343.00 | $4,007.25 | 2026-06-05 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $3,692.00 | $2,769.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,240.53 | $6,656.34 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,442.00 | $1,831.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,354.00 | $1,765.50 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,354.00 | $1,765.50 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $2,354.00 | $1,765.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $2,442.00 | $1,831.50 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,442.00 | $1,831.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,442.00 | $1,831.50 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $3,469.00 | $2,601.75 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $3,943.00 | $2,957.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $4,561.00 | $3,420.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $5,800.00 | $4,350.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,512.00 | $2,879.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $7,877.34 | $5,120.27 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $7,592.00 | $5,694.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,354.00 | $1,765.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,442.00 | $1,831.50 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,354.00 | $1,765.50 | 2026-05-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $3,714.00 | $2,414.10 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.65 | $216.00 | $41.04 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.65 | $222.00 | $42.18 | 2026-01-25 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $2.03 | — | — | 2026-07-15 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $2.05 | $864.00 | $267.84 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $2.05 | $864.00 | $267.84 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $2.05 | $864.00 | $267.84 | 2025-12-23 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,688.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,476.00 | $738.00 | 2026-07-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $2.78 | $1,851.00 | $1,388.25 | 2026-03-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.36 | $2,420.00 | $553.90 | 2024-12-31 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $6.15 | $2,991.00 | $2,991.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $6.15 | $1,324.00 | $1,324.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $6.15 | $2,991.00 | $2,991.00 | 2026-07-15 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.47 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.51 | $2,020.37 | $2,020.37 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.51 | — | — | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $6.81 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $7.15 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.41 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.46 | $2,020.37 | $2,020.37 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.46 | — | — | 2026-03-18 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | FALLON MEDICAID [10904] | All FALLON MCO HA [55] Plans | $7.59 | $28,859.80 | $28,859.80 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO HA [197] Plans | $7.59 | $28,859.80 | $28,859.80 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans | $7.59 | $28,859.80 | $28,859.80 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY HA [235] Plans | $7.59 | $28,859.80 | $28,859.80 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | FALLON MEDICAID [10904] | All FALLON ACO HA [79] Plans | $7.59 | $28,859.80 | $28,859.80 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MASSHEALTH [20302] | All MASSHEALTH HA [93] Plans | $7.59 | $28,859.80 | $28,859.80 | 2026-03-26 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.07 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.12 | $2,020.37 | $2,020.37 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.12 | — | — | 2026-03-18 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $8.21 | $513.00 | $384.75 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $8.21 | $640.00 | $480.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $8.21 | $640.00 | $480.00 | 2026-07-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA MEDICARE | $8.68 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $9.84 | $2,768.00 | $1,024.16 | 2026-03-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $10.24 | $2,904.00 | $638.88 | 2026-03-19 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $10.42 | — | — | 2026-07-15 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $11.57 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $11.57 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $11.57 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA MEDICARE | $11.57 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $11.57 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA MEDICARE | $11.80 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $11.86 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $11.92 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $12.73 | $458.00 | $458.00 | 2026-03-27 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $13.26 | $3,584.00 | $3,404.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.26 | $3,584.00 | $3,404.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.26 | $3,584.00 | $3,404.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $13.62 | $3,584.00 | $3,404.80 | 2026-02-20 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $13.80 | $138.00 | $138.00 | 2026-07-15 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $13.81 | — | — | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $13.98 | $3,584.00 | $3,404.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $14.34 | $3,584.00 | $3,404.80 | 2026-02-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $16.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $17.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $4,976.44 | $3,234.69 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.87 | $3,646.00 | $3,463.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.87 | $3,646.00 | $3,463.70 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $18.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $18.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $18.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $18.06 | $864.00 | $432.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $18.06 | $864.00 | $432.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $18.06 | $864.00 | $432.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $18.06 | $864.00 | $432.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $18.06 | $864.00 | $432.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $18.06 | $864.00 | $432.00 | 2024-12-10 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.23 | $3,646.00 | $3,463.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $18.96 | $3,646.00 | $3,463.70 | 2026-02-20 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $19.00 | $127.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $19.11 | — | — | 2026-07-18 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $423.00 | $296.10 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $423.00 | $296.10 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $423.00 | $296.10 | 2026-07-14 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $19.69 | $3,646.00 | $3,463.70 | 2026-02-20 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $19.69 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $19.69 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $20.06 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $20.25 | — | — | 2026-07-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $20.30 | $315.00 | $315.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $20.30 | $315.00 | $315.00 | 2026-06-03 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $20.39 | — | — | 2026-07-18 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,366.00 | $887.90 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,366.00 | $887.90 | 2025-01-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $20.97 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $20.97 | — | — | 2024-10-01 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $21.02 | $96.71 | $96.71 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $21.02 | $96.71 | $96.71 | 2024-12-30 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $22.00 | $127.00 | $63.00 | 2025-02-03 | 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.