78227 — Hepatobil Syst Image W/drug
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEPATOBIL SYST IMAGE W/DRUG (CPT 78227) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78227?code_type=CPT
MLA (9th ed.)
“HEPATOBIL SYST IMAGE W/DRUG (CPT 78227) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78227?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HEPATOBIL SYST IMAGE W/DRUG (CPT 78227) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78227?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $543–$1,794 (25th–75th percentile) across 2,836 hospitals · 10,001 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78227 — 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $7,877.34 | $5,120.27 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $7,877.34 | $5,120.27 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.27 | $2,268.00 | $1,701.00 | 2026-03-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.27 | $168.00 | $31.92 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.33 | $137.87 | $89.62 | 2026-05-07 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $2.05 | $1,337.00 | $414.47 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $2.05 | $1,337.00 | $414.47 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $2.05 | $1,337.00 | $414.47 | 2025-12-23 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,552.00 | — | 2025-06-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.95 | $2,750.00 | $553.90 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.42 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.46 | $4,305.50 | $4,305.50 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.46 | — | — | 2026-03-18 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem BCBS HMO | — | $2,500.62 | $511.00 | 2026-03-17 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem BCBS HMO | — | $2,500.62 | $511.00 | 2026-03-17 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $8.07 | $2,765.90 | $1,548.90 | 2026-03-02 | MRF ↗ |
| THEDACARE MEDICAL CENTER-WAUPACA BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $8.07 | $2,765.90 | $1,548.90 | 2026-03-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $8.50 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $8.55 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $8.55 | $4,305.50 | $4,305.50 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $9.02 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.26 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.31 | $4,305.50 | $4,305.50 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $9.47 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $10.24 | $2,986.00 | $656.92 | 2026-03-19 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $10.68 | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $12.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $12.13 | $3,764.00 | $1,392.68 | 2026-03-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $13.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $14.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $14.10 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $14.10 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $14.10 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.48 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.86 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $15.24 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $15.72 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $15.72 | — | — | 2024-10-01 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $15.90 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $15.90 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.41 | $3,418.00 | $3,247.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.41 | $3,418.00 | $3,247.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $16.75 | $3,418.00 | $3,247.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $16.75 | $3,418.00 | $3,247.10 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $17.00 | $107.00 | $53.00 | 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 - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.43 | $3,418.00 | $3,247.10 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $18.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $18.20 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $18.20 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $18.20 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $18.20 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $18.97 | $4,178.00 | — | 2026-02-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $19.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.00 | $3,877.00 | $3,683.15 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $19.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.00 | $3,877.00 | $3,683.15 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $19.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $19.39 | $3,877.00 | $3,683.15 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $20.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $20.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.16 | $3,877.00 | $3,683.15 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $20.40 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $20.40 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $20.40 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $20.40 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $20.40 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $20.40 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,715.00 | $1,114.75 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,715.00 | $1,114.75 | 2025-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $20.55 | $1,976.15 | $1,976.15 | 2026-04-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $20.94 | $3,877.00 | $3,683.15 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $21.08 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $21.08 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $21.44 | $2,238.00 | $1,342.80 | 2024-07-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $22.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $22.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $22.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.17 | $1,142.00 | $456.80 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.17 | $1,142.00 | $456.80 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.17 | $1,038.00 | $415.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.17 | $1,038.00 | $415.20 | 2026-05-13 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Humana Choice | Medicare Advantage | $22.56 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Sanford Health Plan | Medicare Advantage | $22.56 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Sanford Health Plan | Medicare Advantage | $22.56 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Humana Choice | Medicare Advantage | $22.56 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HPN | $22.71 | — | — | 2024-10-01 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | $1,337.00 | $668.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | $1,337.00 | $668.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | $1,337.00 | $668.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | $1,337.00 | $668.50 | 2024-12-10 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $23.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield NextBlue | Medicare Advantage | $23.01 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield NextBlue | Medicare Advantage | $23.01 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID [13805] | $23.55 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $23.79 | $395.00 | $1,880.25 | 2026-04-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $24.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | None | — | — | $96.00 | $48.00 | 2026-05-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $24.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $24.55 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $24.55 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $24.55 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $24.55 | $68.00 | $47.60 | 2026-04-02 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $24.80 | $2,461.00 | $1,230.50 | 2025-12-31 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | EXCELLUS ESSENTIAL 1&2 [10413] | $24.96 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $24.96 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY [12708] | $24.96 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $24.96 | $73.12 | $73.12 | 2024-12-30 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $25.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $25.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $25.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $25.34 | $240.00 | $240.00 | 2026-02-13 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield | Commercial | $25.38 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield | Commercial | $25.38 | $47.00 | $30.55 | 2026-05-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | CORIZON | INMATE SERVICES | $25.49 | $2,238.00 | $1,342.80 | 2024-07-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $26.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $26.42 | — | — | 2025-10-24 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HMO | $26.45 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $26.63 | $89.00 | $89.00 | 2026-03-23 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $26.63 | $116.30 | $58.20 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $26.63 | $89.00 | $89.00 | 2026-03-23 | 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.