78278 — Acute Gi Blood Loss Imaging
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ACUTE GI BLOOD LOSS IMAGING (CPT 78278) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78278?code_type=CPT
MLA (9th ed.)
“ACUTE GI BLOOD LOSS IMAGING (CPT 78278) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78278?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ACUTE GI BLOOD LOSS IMAGING (CPT 78278) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78278?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $407–$1,343 (25th–75th percentile) across 2,696 hospitals · 9,512 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78278 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$407
$695 typical
$1,343
The middle 50% of negotiated facility rates for this procedure, measured across 2,696 hospitals. Surgeon & anesthesia 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. | $695 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $306 × 1.22 commercial. | $373 |
| Likely subtotal | $1,068 |
Surgical episode (typical)
~$1,068
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,853
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $8,163.80 | $5,306.47 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,926.00 | $2,399.32 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $2,926.00 | $2,399.32 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.39 | $185.00 | $35.15 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.46 | $151.13 | $98.23 | 2026-05-07 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $2.05 | $746.00 | $231.26 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $2.05 | $746.00 | $231.26 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $2.05 | $746.00 | $231.26 | 2025-12-23 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,037.00 | — | 2025-06-28 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $2.78 | $1,111.00 | $833.25 | 2026-03-26 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $4.23 | $2,275.00 | — | 2026-02-19 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.54 | $3,078.00 | $426.74 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.16 | $3,457.06 | $3,457.06 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.20 | $1,528.24 | $1,528.24 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.20 | $1,528.24 | $1,528.24 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $6.92 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.06 | $3,457.06 | $3,457.06 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.11 | $1,528.24 | $1,528.24 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.11 | $1,528.24 | $1,528.24 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $7.27 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.69 | $3,457.06 | $3,457.06 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.74 | $1,528.24 | $1,528.24 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.74 | $1,528.24 | $1,528.24 | 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 | $8.29 | $1,048.00 | $786.00 | 2025-03-07 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $9.69 | $2,818.00 | $1,042.66 | 2026-03-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $10.09 | $970.20 | $970.20 | 2026-04-24 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $13.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $13.32 | $3,600.00 | $3,420.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.32 | $3,600.00 | $3,420.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.32 | $3,600.00 | $3,420.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $13.68 | $3,600.00 | $3,420.00 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $14.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $14.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.04 | $3,600.00 | $3,420.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $14.40 | $3,600.00 | $3,420.00 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $14.72 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $14.72 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $14.72 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $14.72 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $15.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $15.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $15.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $15.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $16.50 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $16.50 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $16.50 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $16.50 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $16.50 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $16.50 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.70 | $3,479.00 | $3,305.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.70 | $3,479.00 | $3,305.05 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $17.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.05 | $3,479.00 | $3,305.05 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $17.05 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $17.05 | $3,479.00 | $3,305.05 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $17.05 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $3,894.84 | $2,531.65 | 2025-11-26 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $17.30 | $4,714.00 | $4,714.00 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $17.30 | $4,714.00 | $4,714.00 | 2024-10-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $17.55 | $80.09 | $80.09 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $17.55 | $80.09 | $80.09 | 2024-12-30 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.70 | $746.00 | $373.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.70 | $746.00 | $373.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.70 | $746.00 | $373.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.70 | $746.00 | $373.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.70 | $746.00 | $373.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $17.70 | $746.00 | $373.00 | 2024-12-10 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.74 | $3,479.00 | $3,305.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.94 | $3,662.00 | $3,478.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.94 | $3,662.00 | $3,478.90 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $18.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $18.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.31 | $3,662.00 | $3,478.90 | 2026-02-20 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $19.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $19.04 | $3,662.00 | $3,478.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $19.77 | $3,662.00 | $3,478.90 | 2026-02-20 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $19.81 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $19.81 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $19.81 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $19.81 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $19.86 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $19.86 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $19.86 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $19.86 | $55.00 | $38.50 | 2026-04-02 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $19.94 | $263.00 | $263.00 | 2026-02-13 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $20.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $20.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $20.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $20.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $20.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $20.33 | $3,725.00 | $1,862.50 | 2025-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,533.00 | $996.45 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,533.00 | $996.45 | 2025-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $21.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $21.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $21.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $21.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $22.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $22.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $22.20 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $22.20 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $22.20 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $22.20 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $22.20 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $22.20 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $22.94 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $22.94 | $74.00 | $51.80 | 2026-04-02 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $23.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $23.64 | $1,749.00 | $1,049.40 | 2024-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $23.65 | — | — | 2025-10-24 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Brook | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Msq | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $24.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Slw | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICAID | ALABAMA MEDICAID | $24.00 | $699.25 | $349.63 | 2026-03-26 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $24.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Bi | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Slw | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Brook | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $24.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Bi | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Brook | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $24.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Msq | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Bi | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Slw | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $24.00 | $3,243.95 | $451.00 | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid | $24.00 | $3,243.95 | $451.00 | 2024-12-19 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MCD SWB | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MCD AL PT 1ST | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD PSYCH | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD SWB | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MEDICAID AL ACHN | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MCD OB WAIVER | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD AL PT 1ST | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $24.00 | $3,325.05 | $356.00 | 2026-03-17 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Tmsh | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MCD AL | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid | $24.00 | $3,243.95 | $451.00 | 2024-12-19 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Tmsh | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MCD AL HPE | MCD AL HPE INPATIENT | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MCD AL HPE | MCD AL HPE OUT PATIENT | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Family - Tmsh | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $24.00 | $3,243.95 | $451.00 | 2024-12-19 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MEDICAID PENDING IP | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID PRESUMPTIVE | MCD AL PRESMPT ELIG IP | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MEDICAID PENDING OP | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID PRESUMPTIVE | MCD AL PRESMPT ELIG OP | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | United Healthcare | Commercial | $24.00 | $1,716.25 | $1,716.25 | 2026-05-17 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICAID | ALABAMA MEDICAID | $24.00 | $699.25 | $349.63 | 2026-03-26 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $24.00 | $105.00 | $52.00 | 2025-02-03 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD AL | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD OB WAIVER | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MIZELL MEMORIAL HOSPITAL Both | Medicaid Alabama | Default | $24.00 | $884.75 | $796.28 | 2025-01-01 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MEDICAID AL ACHN | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD OOS | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICAID | MCD MS | $24.00 | $942.50 | $329.87 | 2026-02-05 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MEDICAID | MCD OOS | $24.00 | $926.50 | $240.89 | 2025-10-30 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Medicaid Alabama | Default | $24.00 | $1,653.00 | $661.20 | 2026-03-02 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| The Burdett Care Center BothFacility | MVP MEDICAID ADVANTAGE | MVP MEDICAID | $24.24 | $2,496.00 | $1,622.40 | 2026-03-31 | MRF ↗ |
| SLHS MASSENA, INC Inpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $857.14 | $557.14 | 2024-12-30 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $24.24 | $857.14 | $557.14 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Inpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $857.14 | $557.14 | 2024-12-30 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| SLHS MASSENA, INC Inpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $857.14 | $557.14 | 2024-12-30 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA|AETNA DENTAL | — | $857.14 | $557.14 | 2024-12-30 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MEDICAID | $24.24 | $307.53 | $261.40 | 2026-04-07 | MRF ↗ |
| SLHS MASSENA, INC Inpatient | VETERANS ADMINISTRATION [178] | HUMANA - GENERIC|HUMANA | — | $857.14 | $557.14 | 2024-12-30 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $24.24 | — | — | 2026-01-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY BLUE | COMMUNITY BLUE - BC | $24.24 | $307.53 | $261.40 | 2026-04-07 | MRF ↗ |
| SLHS MASSENA, INC Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $857.14 | $557.14 | 2024-12-30 | 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.