78305 — Bone Imaging Multiple Areas
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BONE IMAGING MULTIPLE AREAS (CPT 78305) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78305?code_type=CPT
MLA (9th ed.)
“BONE IMAGING MULTIPLE AREAS (CPT 78305) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78305?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“BONE IMAGING MULTIPLE AREAS (CPT 78305) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78305?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $388–$1,171 (25th–75th percentile) across 2,184 hospitals · 6,975 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78305 — 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
$388
$580 typical
$1,171
The middle 50% of negotiated facility rates for this procedure, measured across 2,184 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. | $580 |
| Radiologist read Estimate national typical Medicare $38 × 1.8 commercial. | $69 |
| Likely subtotal | $649 |
Complete-episode estimate (typical)
~$649
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 |
|---|---|---|---|---|---|---|---|
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.17 | $154.00 | $29.26 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.23 | $127.89 | $83.13 | 2026-05-07 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $2.05 | $1,032.00 | $319.92 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $2.05 | $1,032.00 | $319.92 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $2.05 | $1,032.00 | $319.92 | 2025-12-23 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $5.16 | — | — | 2026-02-19 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $5.40 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $5.67 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.24 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.28 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.28 | — | — | 2026-03-18 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $6.50 | $402.00 | $301.50 | 2025-03-07 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.16 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.20 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.20 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.79 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.84 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.84 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.41 | $2,272.00 | $2,158.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $8.41 | $2,272.00 | $2,158.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.41 | $2,272.00 | $2,158.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.63 | $2,272.00 | $2,158.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.86 | $2,272.00 | $2,158.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $9.09 | $2,272.00 | $2,158.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.54 | $2,195.00 | $2,085.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.54 | $2,195.00 | $2,085.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $10.76 | $2,195.00 | $2,085.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.76 | $2,195.00 | $2,085.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.19 | $2,195.00 | $2,085.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.32 | $2,311.00 | $2,195.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.32 | $2,311.00 | $2,195.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.55 | $2,311.00 | $2,195.45 | 2026-02-20 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $12.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $12.02 | $2,311.00 | $2,195.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $12.48 | $2,311.00 | $2,195.45 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $13.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $14.27 | $1,032.00 | $516.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $14.27 | $1,032.00 | $516.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $14.27 | $1,032.00 | $516.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $14.27 | $1,032.00 | $516.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $14.27 | $1,032.00 | $516.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $14.27 | $1,032.00 | $516.00 | 2024-12-10 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $14.50 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $14.50 | — | — | 2024-10-01 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | HMO | ONE CALL CARE HMO OP | $15.00 | $2,228.00 | $579.28 | 2025-10-30 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $15.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | PPO | ONE CALL CARE PPO OP | $15.00 | $2,266.00 | $793.10 | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | WORKERS COMP | WC ONE CALL CARE OP | $15.00 | $2,266.00 | $793.10 | 2026-02-05 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $15.90 | $223.00 | $223.00 | 2026-02-13 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $16.45 | $1,621.00 | $810.50 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $19.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $19.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $19.07 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $19.98 | — | — | 2025-10-24 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $20.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $20.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $20.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $20.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $20.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | COMMUNITY HEALTH PLAN MCAID-ALL PLANS | COMMUNITY HEALTH PLAN MCAID-ALL PLANS | $20.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER MEDICAID | KAISER MEDICAID | $20.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | WELLPOINT MCAID - ALL PLANS | WELLPOINT MCAID - ALL PLANS | $20.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | WELLCARE MCAID -ALL OTHER PLANS | WELLCARE MCAID -ALL OTHER PLANS | $20.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | MOLINA HLTHCARE MCAID-ALL PLANS | MOLINA HLTHCARE MCAID-ALL PLANS | $20.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HPN | $20.95 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $21.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $21.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $21.15 | $140.42 | $778.32 | 2026-04-01 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $21.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | STERLING MCR ADV-ALL PLANS | STERLING MCR ADV-ALL PLANS | $21.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER MCARE ADVAN | KAISER MCARE ADVAN | $21.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | COMMUNITY CARE NTWRK MCARE-ALL PLANS | COMMUNITY CARE NTWRK MCARE-ALL PLANS | $21.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $21.28 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $21.49 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | WELLCARE MCR ADV | WELLCARE MCR ADV | $21.97 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $22.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $22.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | IDAHO DSHS-ALL PLANS | IDAHO DSHS-ALL PLANS | $22.96 | $56.00 | $47.60 | 2026-01-16 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $23.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $23.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $23.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $23.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $23.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $24.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HMO | $24.40 | — | — | 2024-10-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $24.55 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $24.55 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $24.55 | — | — | 2025-08-01 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $24.71 | $78.00 | $78.00 | 2026-03-23 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.71 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $24.87 | $133.00 | $119.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $24.87 | $133.00 | $119.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $24.87 | $133.00 | $119.70 | 2024-07-01 | MRF ↗ |
| RUSSELLVILLE HOSPITAL Both | MANAGED CARE | US IMAGING MCARE OP | $25.00 | $2,228.00 | $579.28 | 2025-10-30 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Aetna | Local | — | $10,944.52 | $10,944.52 | 2026-03-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Aetna | KCCarePlus | — | $10,944.52 | $10,944.52 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Aetna | National | — | $10,944.52 | $10,944.52 | 2026-03-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Aetna | IVLHIX | — | $10,944.52 | $10,944.52 | 2026-03-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $25.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $25.25 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $25.25 | — | — | 2025-08-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | PPO | $25.47 | — | — | 2024-10-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $25.52 | $136.00 | $108.80 | 2026-01-16 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $25.57 | $671.25 | $385.97 | 2026-03-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $25.70 | $106.60 | $53.30 | 2025-12-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $25.71 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $25.71 | — | — | 2025-08-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $25.80 | $196.00 | $99.96 | 2026-05-09 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $26.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $26.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $26.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $26.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $26.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $26.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $26.07 | $696.22 | $696.22 | 2026-05-26 | 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.