78492 — Myocrd Img PET Mlt Rst&strs
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MYOCRD IMG PET MLT RST&STRS (CPT 78492) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78492?code_type=CPT
MLA (9th ed.)
“MYOCRD IMG PET MLT RST&STRS (CPT 78492) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78492?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“MYOCRD IMG PET MLT RST&STRS (CPT 78492) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78492?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,398–$3,570 (25th–75th percentile) across 1,559 hospitals · 3,247 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78492 — 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
$1,398
$1,836 typical
$3,570
The middle 50% of negotiated facility rates for this procedure, measured across 1,559 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. | $1,836 |
| Radiologist read Estimate national typical Medicare $82 × 1.8 commercial. | $148 |
| Likely subtotal | $1,984 |
Complete-episode estimate (typical)
~$1,984
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,398–$3,570.
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $10,981.27 | $5,490.64 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $10,981.27 | $5,490.64 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.54 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.56 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $0.96 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $6,116.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $6,116.00 | — | 2024-12-31 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicaid | $1.00 | $5,684.00 | $3,410.40 | 2026-06-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $6,116.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $6,116.00 | $1,786.83 | 2024-12-31 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $1.20 | $5,785.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $5,785.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $1.20 | $5,785.00 | — | 2025-06-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.35 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $1.77 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $1.80 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $1.80 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.00 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.10 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.31 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.39 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Multiplan PHCS | PrimaryNetwork | $2.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $2.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $2.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $2.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $2.90 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $2.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.39 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.01 | $6,116.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $12.69 | $94.00 | $70.50 | 2026-01-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $19.51 | $94.00 | $70.50 | 2026-01-16 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $20.65 | — | — | 2026-02-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $22.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $24.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $24.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $24.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $25.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.22 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.39 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.39 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $30.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $30.05 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $30.24 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $30.24 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $31.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $31.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $32.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.72 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.92 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $33.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $33.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $34.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $34.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $34.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $17,882.00 | $14,663.24 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $35.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $35.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $35.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $35.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $36.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $37.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $38.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $38.87 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $39.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $40.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $40.00 | $165.00 | $165.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $40.00 | $165.00 | $165.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $40.00 | $165.00 | $165.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $40.00 | $165.00 | $165.00 | 2025-07-03 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $40.81 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $41.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $41.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $41.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $42.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $42.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $42.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $42.30 | $94.00 | $70.50 | 2026-01-16 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $43.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $44.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $45.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $45.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $45.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $45.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $45.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $45.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $46.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $46.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $46.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $46.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $47.00 | $12,704.00 | $12,068.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $47.00 | $12,704.00 | $12,068.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $47.00 | $12,704.00 | $12,068.80 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $47.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $47.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $48.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $48.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $48.28 | $12,704.00 | $12,068.80 | 2026-02-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $49.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $49.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $49.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $49.55 | $12,704.00 | $12,068.80 | 2026-02-20 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $50.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $50.30 | $490.98 | $5,598.24 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $50.82 | $12,704.00 | $12,068.80 | 2026-02-20 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $52.61 | $167.00 | $167.00 | 2026-03-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $52.61 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $53.00 | $165.00 | $165.00 | 2025-07-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $53.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $53.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $53.70 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $53.70 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $53.70 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $53.70 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $53.70 | — | — | 2026-03-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $54.00 | $174.00 | $87.00 | 2025-02-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $54.29 | — | — | 2025-10-24 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $54.48 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $54.48 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $54.48 | — | — | 2024-07-01 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $54.71 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $54.71 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $54.71 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $54.71 | $188.20 | $94.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $54.71 | $188.20 | $94.10 | 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.