78264 — Nm Gastric Emptying
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NM GASTRIC EMPTYING (CPT 78264) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78264?code_type=CPT
MLA (9th ed.)
“NM GASTRIC EMPTYING (CPT 78264) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78264?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NM GASTRIC EMPTYING (CPT 78264) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78264?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $405–$1,437 (25th–75th percentile) across 2,832 hospitals · 10,063 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78264 — 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 |
|---|---|---|---|---|---|---|---|
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - PPO | $0.06 | $5,127.00 | $3,845.25 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,636.00 | $2,981.52 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,163.80 | $5,306.47 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $8,163.80 | $5,306.47 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.10 | $147.00 | $27.93 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.16 | $121.31 | $78.85 | 2026-05-07 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.27 | $2,187.00 | $1,640.25 | 2026-03-26 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $2.05 | $967.00 | $299.77 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $2.05 | $967.00 | $299.77 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $2.05 | $967.00 | $299.77 | 2025-12-23 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,877.00 | — | 2025-06-28 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $5.02 | $3,375.00 | — | 2026-02-19 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.54 | $3,076.00 | $426.74 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.16 | $3,389.14 | $3,389.14 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.20 | $2,869.95 | $2,869.95 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.20 | $2,869.95 | $2,869.95 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $6.73 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.06 | $3,389.14 | $3,389.14 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $7.07 | — | — | 2026-05-06 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.11 | $2,869.95 | $2,869.95 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.11 | $2,869.95 | $2,869.95 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.69 | $3,389.14 | $3,389.14 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.74 | $2,869.95 | $2,869.95 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.74 | $2,869.95 | $2,869.95 | 2026-03-18 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.89 | $2,904.00 | $638.88 | 2026-03-19 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $8.00 | $721.00 | $540.75 | 2025-03-07 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Epic Americas | AXA Assistance | $8.15 | $5,127.00 | $3,845.25 | 2026-04-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $9.19 | $2,353.00 | $870.61 | 2026-03-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $12.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $13.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.21 | $3,571.00 | $3,392.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $13.21 | $3,571.00 | $3,392.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.21 | $3,571.00 | $3,392.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $13.57 | $3,571.00 | $3,392.45 | 2026-02-20 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $13.80 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $13.80 | — | — | 2024-10-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $13.93 | $3,571.00 | $3,392.45 | 2026-02-20 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $13.96 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $13.96 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $14.28 | $3,571.00 | $3,392.45 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $16.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $16.06 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $16.06 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $16.06 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $16.06 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.56 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.56 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $16.91 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $16.91 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $17.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $17.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.04 | $967.00 | $483.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.04 | $967.00 | $483.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.04 | $967.00 | $483.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.04 | $967.00 | $483.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.04 | $967.00 | $483.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.04 | $967.00 | $483.50 | 2024-12-10 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $3,894.84 | $2,531.65 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.59 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.80 | $3,632.00 | $3,450.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.80 | $3,632.00 | $3,450.40 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $18.00 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $18.00 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $18.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $18.00 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $18.00 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $18.00 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $18.00 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $18.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.16 | $3,632.00 | $3,450.40 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $18.60 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $18.60 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $18.82 | $1,986.00 | $1,191.60 | 2024-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $18.89 | $3,632.00 | $3,450.40 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $19.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $19.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $19.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $19.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $19.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $19.04 | $212.00 | $212.00 | 2026-02-13 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $19.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $19.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $19.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $19.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $19.41 | — | — | 2026-03-28 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $19.43 | $145.00 | $87.00 | 2026-03-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $19.45 | $3,064.00 | $1,532.00 | 2025-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $19.61 | $3,632.00 | $3,450.40 | 2026-02-20 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID [13805] | $19.72 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $19.86 | $145.00 | $87.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $19.86 | $145.00 | $87.00 | 2026-03-06 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $19.92 | $360.00 | $1,291.65 | 2026-04-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HPN | $19.93 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $20.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,342.00 | $872.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,342.00 | $872.30 | 2025-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $20.90 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | EXCELLUS ESSENTIAL 1&2 [10413] | $20.90 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $20.90 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY [12708] | $20.90 | $63.32 | $63.32 | 2024-12-30 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $21.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $21.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $21.66 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $21.66 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $21.66 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $21.66 | $60.00 | $42.00 | 2026-04-02 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $21.79 | — | — | 2025-10-24 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Anthem | — | $21.89 | $70.00 | $56.00 | 2024-01-17 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $22.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $22.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $22.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $22.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | CORIZON | INMATE SERVICES | $22.37 | $1,986.00 | $1,191.60 | 2024-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $22.83 | — | — | 2025-10-24 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB BRYV Ark Medicaid | $23.00 | $1,512.00 | $982.80 | 2026-03-16 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $23.00 | $2,904.00 | $638.88 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | MEDICAID [20240] | HB BRYV Ark Medicaid | $23.00 | $1,512.00 | $982.80 | 2026-03-16 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL - CASSVILLE OutpatientFacility | MEDICAID [20240] | HB CASV Arkansas Medicaid | $23.00 | $2,016.00 | $1,310.40 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL AURORA OutpatientFacility | MEDICAID [20240] | HB AURA ARKANSAS MEDICAID | $23.00 | $1,638.00 | $1,064.70 | 2026-03-13 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| SAINT MARY'S REGIONAL MEDICAL CENTER Outpatient | ARKANSAS MEDICAID | Medicaid | $23.00 | $6,100.31 | $1,830.09 | 2025-07-01 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB BRYV SUMMIT | $23.00 | $1,512.00 | $982.80 | 2026-03-16 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Empower | Medicaid|All Plans | $23.00 | $2,299.00 | $589.93 | 2026-02-28 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $23.00 | $2,904.00 | $638.88 | 2026-03-19 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $23.00 | $2,728.00 | $1,773.20 | 2026-03-12 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $23.00 | $643.34 | $352.55 | 2025-01-06 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB BRYV Ark Medicaid | $23.00 | $1,512.00 | $982.80 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | MEDICAID [20240] | HB BRYV Ark Medicaid | $23.00 | $1,512.00 | $982.80 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB BRYV SUMMIT | $23.00 | $1,512.00 | $982.80 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $23.00 | $2,623.00 | $1,704.95 | 2026-03-13 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | ARKANSAS MEDICAID | Medicaid | $23.00 | $2,219.00 | $665.70 | 2025-07-01 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $23.00 | — | — | 2026-01-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $23.00 | $2,321.00 | $1,508.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $23.00 | $2,321.00 | $1,508.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $23.00 | $2,321.00 | $1,508.65 | 2026-03-13 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $23.00 | — | — | 2025-06-11 | MRF ↗ |
| SALINE MEMORIAL HOSPITAL Outpatient | ARKANSAS MEDICAID | Medicaid | $23.00 | $1,501.50 | $450.45 | 2025-07-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $23.00 | $2,321.00 | $1,508.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $23.00 | $1,952.00 | $1,268.80 | 2026-03-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $23.00 | $987.00 | $562.59 | 2024-11-12 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $1,018.00 | $610.80 | 2026-05-08 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | ARKANSAS TOTALCARE | ARKANSAS TOTALCARE | $23.00 | $1,200.00 | — | 2026-03-29 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Summit Community Care | Medicaid | $23.00 | $3,246.00 | $486.90 | 2026-02-27 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| GREAT RIVER MEDICAL CENTER Both | MEDICAID | MEDICAID DISABILITY | $23.00 | $908.00 | $609.26 | 2026-04-20 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $23.00 | — | — | 2025-06-11 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDICAID | MEDICAID | $23.00 | $1,200.00 | — | 2026-03-29 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| CLAIBORNE MEMORIAL MEDICAL CENTER Both | MEDICAID ARKANSAS | MEDICAID ARK | $23.00 | $1,373.70 | $1,373.70 | 2025-08-12 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| CLAIBORNE MEMORIAL MEDICAL CENTER Both | AMBETTER ARK HEALTH &WELL | AMBETTER ARK HEALTH &WELL | $23.00 | $1,373.70 | $1,373.70 | 2025-08-12 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Summit Community Care | Medicaid | $23.00 | $2,516.00 | $478.04 | 2026-02-27 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| GREAT RIVER MEDICAL CENTER Both | MEDICAID | SUMMIT COMMUNITY CARE | $23.00 | $908.00 | $609.26 | 2026-04-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $23.00 | $2,867.00 | $630.74 | 2026-03-19 | MRF ↗ |
| GREAT RIVER MEDICAL CENTER Both | MEDICAID | MEDICAID ARKANSAS | $23.00 | $908.00 | $609.26 | 2026-04-20 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $23.00 | — | — | 2026-04-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $23.00 | $95.00 | $47.00 | 2025-02-03 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $23.00 | $1,468.00 | — | 2025-07-01 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $23.00 | $643.34 | $352.55 | 2025-01-06 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $23.00 | $2,728.00 | $1,773.20 | 2026-03-12 | MRF ↗ |
| GREAT RIVER MEDICAL CENTER Both | COMMERCIAL INSURANCE | CARESOURCE PASSE | $23.00 | $908.00 | $609.26 | 2026-04-20 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $23.00 | $1,883.00 | $1,223.95 | 2026-03-13 | MRF ↗ |
| GRANDE RONDE HOSPITAL Inpatient | Eastern Oregon Coordinated Care Organization | Medicaid HMO | $23.05 | $1,481.95 | $1,481.95 | 2025-02-06 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $23.11 | $696.22 | $696.22 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $23.11 | $696.22 | $696.22 | 2026-05-26 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HMO | $23.21 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $23.43 | $102.80 | $51.40 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $23.43 | $102.80 | $51.40 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $23.43 | $102.80 | $51.40 | 2025-12-31 | 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.