78227 — Hepatobil Syst Image W/drug
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEPATOBIL SYST IMAGE W/DRUG (HCPCS 78227) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78227?code_type=HCPCS
MLA (9th ed.)
“HEPATOBIL SYST IMAGE W/DRUG (HCPCS 78227) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78227?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HEPATOBIL SYST IMAGE W/DRUG (HCPCS 78227) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78227?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $541–$1,855 (25th–75th percentile) across 3,391 hospitals · 9,415 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.
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
$541
$945 typical
$1,855
The middle 50% of negotiated facility rates for this procedure, measured across 3,391 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. | $945 |
| Radiologist read Estimate national typical Medicare $41 × 1.8 commercial. | $74 |
| Likely subtotal | $1,019 |
Complete-episode estimate (typical)
~$1,019
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 $541–$1,855.
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 |
|---|---|---|---|---|---|---|---|
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HIGH PERFORMANCE NETWORK | $0.50 | $4,759.00 | $3,569.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS PREFERRED PROVIDER ARRANGEMENT | $0.50 | $4,759.00 | $3,569.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS OUT OF STATE | $0.50 | $4,759.00 | $3,569.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS INDEMNITY | $0.50 | $4,759.00 | $3,569.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HMO BLUE | $0.50 | $4,759.00 | $3,569.25 | 2026-06-05 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Tricare | Commercial | $0.60 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,956.00 | — | 2026-07-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | City Of Charleston | Commercial | $0.75 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Ppo Aca | $0.81 | $1.00 | $1.00 | 2026-07-15 | 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 ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Integrated Medical Solutions | Commercial | $0.90 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Traditional | $0.91 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Ppo/Pos | $0.91 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Cigna Health And Life Insurance Company | Commercial | $0.93 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Commercial | $0.97 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Three Rivers Providers Network | Workers Compensation | $0.97 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Triwest Va | Medicare Advantage | $0.97 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Three Rivers Providers Network | Commercial | $0.97 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $0.98 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Healthsmart | Commercial | $0.98 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Commercial | $0.98 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Multiplan | Commercial | $0.98 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Commercial | $0.98 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $3,580.00 | $1,790.00 | 2026-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,994.00 | $2,245.50 | 2026-05-20 | 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 | Health Net of California, Inc. | HMO | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,339.00 | $1,754.25 | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $4,759.00 | $3,569.25 | 2026-06-05 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Caresource | Commercial | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,339.00 | $1,754.25 | 2026-05-20 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Medicare Advantage | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $3,487.00 | $2,859.34 | 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 ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,994.00 | $2,245.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $2,994.00 | $2,245.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,339.00 | $1,754.25 | 2026-05-20 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage Ppo+ | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Optimum Choice Inc. | Va Community Care Network | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Better Health Of West Virginia | Chip | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Managed Medicaid | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,994.00 | $2,245.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,339.00 | $1,754.25 | 2026-05-20 | 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 ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| 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 ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,994.00 | $2,245.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $3,487.00 | $2,859.34 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,339.00 | $1,754.25 | 2026-05-20 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Naphcare | Commercial | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $2,339.00 | $1,754.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,994.00 | $2,245.50 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $7,877.34 | $5,120.27 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $3,714.00 | $2,414.10 | 2026-06-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Medicare Advantage | $1.03 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage | $1.05 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Medicare Advantage | $1.05 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | West Virginia Senior Advantage Inc. | Medicare Advantage | $1.05 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $3,580.00 | $1,790.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $3,580.00 | $1,790.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $3,580.00 | $1,790.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $3,580.00 | $1,790.00 | 2026-07-01 | 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 ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.27 | $165.00 | $31.35 | 2026-05-20 | 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 ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.33 | $137.87 | $89.62 | 2026-05-07 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $3,580.00 | $1,790.00 | 2026-07-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Humana Inc. | Standard | — | $1,015.96 | $863.57 | 2026-07-15 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $3,580.00 | $1,790.00 | 2026-07-01 | MRF ↗ |
| RARITAN BAY 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 HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.46 | — | — | 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 ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem BCBS HMO | — | $2,500.62 | $511.00 | 2026-03-17 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $8.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| THEDACARE MEDICAL CENTER-WAUPACA BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $8.07 | $2,765.90 | $1,548.90 | 2026-03-02 | 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 REGIONAL MED CTR - NEENAH 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 ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $9.00 | $41.70 | — | 2026-08-01 | 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 Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.31 | $4,305.50 | $4,305.50 | 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 ↗ |
| 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 ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $10.50 | $105.00 | $105.00 | 2026-07-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | 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 | Multiplan Inc. for American Family | 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 | Advanced Health | 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 | Connecticut General Cigna | Default | — | $170.00 | $127.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $10.68 | $170.00 | $127.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | 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 | United Healthcare | Default | $10.68 | $1,111.00 | $833.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | 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 ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | 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 | Private Healthcare Systems PHCS | Default | — | $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 ↗ |
| 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 ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $12.96 | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $13.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $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 | Humana | Medicare Advantage | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $13.26 | — | — | 2026-03-28 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $14.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $14.10 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $14.10 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $14.10 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.48 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.86 | $3,811.00 | $3,620.45 | 2026-02-20 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $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 CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $15.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL 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 ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $15.84 | — | — | 2026-07-15 | 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 ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $16.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $17.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Multiplan Complimentary 737 Multiplan, Value Point 737 | — | $17.00 | $28.30 | — | 2026-07-30 | 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 ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $17.28 | $188.00 | $56.40 | 2026-07-15 | 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 ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $18.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $18.73 | — | — | 2026-07-18 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $18.80 | $188.00 | $56.40 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $18.92 | $3,557.00 | $3,557.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $18.92 | $3,557.00 | $3,557.00 | 2026-07-15 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $18.97 | $4,178.00 | — | 2026-02-19 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $18.99 | $188.00 | $56.40 | 2026-07-15 | 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 BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $19.00 | $107.00 | $53.00 | 2025-02-03 | 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 ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $19.50 | $130.00 | $97.50 | 2026-05-22 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $417.00 | $291.90 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $417.00 | $291.90 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $417.00 | $291.90 | 2026-07-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $20.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $20.00 | $41.70 | — | 2026-08-01 | 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 ↗ |
| 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 | Tricare | Tricare | $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 ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Medicare Advantage | — | $21.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $21.00 | $41.70 | — | 2026-08-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $21.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $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 ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $21.44 | $2,238.00 | $1,342.80 | 2024-07-01 | 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 ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $22.00 | $107.00 | $53.00 | 2025-02-03 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.17 | $1,038.00 | $415.20 | 2026-07-18 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.17 | $1,142.00 | $456.80 | 2026-07-18 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $22.77 | $1,337.00 | $668.50 | 2024-12-10 | 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.