78464 — Chg Myocardial Image Single,spect
Cite this view
HANK Price Transparency. (n.d.). CHG MYOCARDIAL IMAGE SINGLE,SPECT (HCPCS 78464) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78464?code_type=HCPCS
“CHG MYOCARDIAL IMAGE SINGLE,SPECT (HCPCS 78464) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78464?code_type=HCPCS. Accessed .
“CHG MYOCARDIAL IMAGE SINGLE,SPECT (HCPCS 78464) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78464?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $240–$1,992 (25th–75th percentile) across 172 hospitals · 107 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78464 — 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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $48.95 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $48.95 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $48.95 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $48.95 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $48.95 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $48.95 | — | — | 2026-07-18 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $50.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cofinity | Cofinity Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cofinity | Cofinity Ppo | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | First Health Network | First Health Other | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Eighth Dist Elect Ben Pln | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cofinity | Cofinity Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | First Health Network | First Health Other | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Local Plus | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Ppo | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Eighth Dist Elect Ben Pln | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Health-Partners | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Other | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Other | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cofinity | Cofinity Other | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | First Health Network | Administrative Concepts Inc | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cofinity | Cofinity Other | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cofinity | Cofinity Other | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Other | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Health-Partners | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Local Plus | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Local Plus | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | First Health Network | Administrative Concepts Inc | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Indemnity | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | First Health Network | First Health Other | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Health-Partners | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | First Health Network | Administrative Concepts Inc | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cofinity | Cofinity Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Hmo | — | — | — | 2026-07-14 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | HealthPartners PCC PRIME | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | HealthPartners PCC PRIME | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $70.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $71.81 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $80.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $92.00 | $385.00 | $385.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $92.00 | $385.00 | $385.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $92.00 | $385.00 | $385.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $92.00 | $385.00 | $385.00 | 2025-07-03 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $120.00 | $498.00 | $498.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $120.00 | $498.00 | $498.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $120.00 | $498.00 | $498.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $120.00 | $498.00 | $498.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $125.00 | $385.00 | $385.00 | 2025-07-03 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $140.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United Healthcare | MGMCD | $153.00 | — | — | 2024-10-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | KSMGMCD | $153.07 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | KSMGMCD | $153.07 | — | — | 2025-01-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United Healthcare | MGMCD | $153.07 | — | — | 2026-03-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $153.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $153.07 | — | — | 2026-01-01 | MRF ↗ |
| Research Medical Center Outpatient | United | KSMGMCD | $153.07 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | KSMGMCD | $153.07 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | United | KSMGMCD | $153.07 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | HealthyBlue | MGMCD | $156.13 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $156.13 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | HealthyBlue | MGMCD | $156.13 | — | — | 2025-01-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $156.13 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $156.13 | — | — | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $157.59 | — | — | 2024-10-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Sunflower State Health Plan | MCD | $157.66 | — | — | 2025-01-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Sunflower State Health Plan | MCD | $157.66 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $157.66 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Sunflower State Health Plan | MCD | $157.66 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $157.66 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $157.66 | — | — | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $159.12 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Amerigroup | MCD | $159.12 | — | — | 2024-10-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $159.19 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $159.19 | — | — | 2026-01-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna Better Health | MCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Unicare | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Amerigroup | MGMCD | $159.19 | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Unicare | MGMCD | $159.19 | — | — | 2025-01-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Amerigroup | MCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $159.19 | — | — | 2026-01-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Unicare | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $159.19 | — | — | 2026-01-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Unicare | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Unicare | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $159.19 | — | — | 2026-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna Better Health | MCD | $159.19 | — | — | 2025-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $159.19 | — | — | 2026-01-01 | MRF ↗ |
| Research Medical Center Outpatient | Amerigroup | MGMCD | $159.19 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $160.72 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $160.72 | — | — | 2026-03-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $161.00 | $498.00 | $498.00 | 2025-07-03 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $162.25 | — | — | 2026-03-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | MOUNTAIN HEALTH CO-OP-ALL PLANS | MOUNTAIN HEALTH CO-OP-ALL PLANS | $170.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | CHRISTIAN HEALTH AID-ALL PLANS | CHRISTIAN HEALTH AID-ALL PLANS | $180.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| Research Medical Center Outpatient | Home State Health Plan | MCD | $185.21 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | MOMGMCD | $191.34 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Individual Network - Tmsh | $195.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Ppo/Epo - Tmsh | $195.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Small Group Network - Tmsh | $195.70 | — | — | 2026-04-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $196.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $196.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | BLUE CROSS MCAID | BLUE CROSS MCAID | $200.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $200.00 | $200.00 | $160.00 | 2026-01-16 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | MOMGMCD | $206.64 | — | — | 2026-03-01 | MRF ↗ |
| CLAIBORNE COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $211.20 | $660.00 | $594.00 | 2026-04-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $211.78 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $211.78 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $211.78 | — | — | 2026-07-18 | MRF ↗ |
| Research Medical Center Outpatient | United | MOMGMCD | $221.95 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $225.00 | — | — | 2026-03-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $234.85 | — | — | 2026-01-01 | 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.