78608 — Brain Imaging (pet)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BRAIN IMAGING (PET) (CPT 78608) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78608?code_type=CPT
MLA (9th ed.)
“BRAIN IMAGING (PET) (CPT 78608) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78608?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“BRAIN IMAGING (PET) (CPT 78608) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78608?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,461–$4,478 (25th–75th percentile) across 2,317 hospitals · 6,061 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78608 — 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
$1,461
$2,454 typical
$4,478
The middle 50% of negotiated facility rates for this procedure, measured across 2,317 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. | $2,454 |
| Radiologist read Estimate national typical Medicare $67 × 1.8 commercial. | $120 |
| Likely subtotal | $2,574 |
Complete-episode estimate (typical)
~$2,574
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 $1,461–$4,478.
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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,343.00 | $5,391.55 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,343.00 | $5,391.55 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $8,635.00 | $6,044.50 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $11,230.72 | $5,615.36 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $11,230.72 | $5,615.36 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $23,890.00 | $17,917.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $23,890.00 | $17,917.50 | 2026-09-01 | 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 | MCDSTAR | $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 | STARKids | $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 ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $23,890.00 | $17,917.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $13,254.00 | $9,940.50 | 2026-09-01 | 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $11,596.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $23,890.00 | $17,917.50 | 2026-09-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $23,890.00 | $17,917.50 | 2026-09-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $0.96 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $10,612.00 | $7,959.00 | 2026-05-20 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,503.00 | $1,612.13 | 2024-12-31 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $10,612.00 | $7,959.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $10,612.00 | $7,959.00 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $16,571.00 | $12,428.25 | 2024-12-11 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $10,612.00 | $7,959.00 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $22,854.64 | $14,855.52 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,503.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $16,571.00 | $12,428.25 | 2024-12-11 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,503.00 | — | 2024-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $17,580.50 | $11,427.33 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $5,427.52 | $1,726.04 | 2026-09-05 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,503.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $5,482.00 | $2,741.00 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $10,612.00 | $7,959.00 | 2026-05-20 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $12,479.00 | $9,359.25 | 2024-12-11 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $12,479.00 | $9,359.25 | 2024-12-11 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $5,482.00 | $2,741.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $5,482.00 | $2,741.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $5,482.00 | $2,741.00 | 2026-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $6,075.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $5,482.00 | $2,741.00 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.35 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $5,482.00 | $2,741.00 | 2026-07-01 | 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 ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.03 | $275.00 | $52.25 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.03 | $270.00 | $51.30 | 2026-05-20 | 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 | 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 | PC Texas Partners | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $5,482.00 | $2,741.00 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Multiplan PHCS | PrimaryNetwork | $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 | Mega Life | MGMCRPPO | $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 | 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 ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BUNCH & ASSOCIATES [100537] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GENESIS HCS WORKERS COMP [10054] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO UNIVERSITY HOSPITALS COMPCARE [100532] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO THE HEALTH PLAN [100176] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GENEX CARE OF OHIO [100529] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMP SERVICES [10056] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ESIS 3700 [100538] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CONSTITUTION STATE [10059] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GALLAGHER BASSETT [10053] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO MINUTE MEN OHIOCOMP [100524] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC 888 OHIO COMP LCHN [100535] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP MANAGEMENT HEALTH [100123] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | SPOONER MEDICAL ADMINISTRATORS INC [100126] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP ONE [100527] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | BWC PENDING ENABLECOMP [100544] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US DEPARTMENT OF LABOR BLACK LUNG PROG [100542] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC WALMART CLAIMS [100518] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CORVEL GROUP [100124] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | GENERIC WORKERS' COMP [10051] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AVIZENT WORKERS COMP [10052] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC HELMSMAN MANAGEMENT SRV [100536] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BROADSPIRE [100540] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OHIO BWC BLACK LUNG [100534] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMPMANAGEMENT INC [10058] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GATES MCDONALD [100125] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ZANDEX [100519] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC KROGER CO [100512] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO FRANK GATES MANAGED CARE [100528] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LONGABERGER [100514] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CAREWORKS OF OHIO [100122] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC SEDGWICK OF OHIO [100516] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OWEN BROCKWAY [100515] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AK STEEL ZANESVILLE [10055] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SHEAKLEY UNICARE [100127] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LEAR CORP [100513] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO PROMEDICA MEDICAL MGMT [100531] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US POST OFFICE [100517] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC FRANK GATES [100541] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO 3 HAB [100522] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO OCCUPATIONAL HEALTH LINK, INC [100521] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC PEPSI COLA [100539] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO HUNTER CONSULTING [100546] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CAREWORKS CONSULTANT [10057] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO WORKSTAR HEALTH SRV [100533] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRAVELERS INSURANCE [100548] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO ADVOCARE [100525] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO AULTCOMP [100526] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CONDUENT [100545] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SEDGWICK [100206] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRANSPORTATION CLAIMS [100547] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC DOLLAR GENERAL CORP [100510] | HB OHIO BWC | $3.28 | $9,751.69 | $5,851.01 | 2026-03-27 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.39 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $3.67 | $6,147.00 | $4,302.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $3.67 | $6,147.00 | $4,302.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $3.67 | $6,147.00 | $4,302.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $3.67 | $6,147.00 | $4,302.90 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $3.67 | $6,147.00 | $4,302.90 | 2025-01-01 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $3.86 | $9,696.00 | $6,302.40 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $3.86 | $9,696.00 | $6,302.40 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $3.86 | $9,696.00 | $6,302.40 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $3.86 | $9,696.00 | $6,302.40 | 2026-06-09 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $3.99 | $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 ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $5.12 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $6.28 | — | — | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.11 | $4,503.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $10.26 | $76.00 | $57.00 | 2026-01-16 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $11.95 | — | — | 2026-08-19 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - PPO | $12.80 | $7,548.00 | $5,661.00 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net Cal MediConnect | $12.80 | $7,548.00 | $5,661.00 | 2026-04-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $15.77 | $76.00 | $57.00 | 2026-01-16 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $16.83 | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $18.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $19.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $20.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $20.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,303.00 | $2,796.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,303.00 | $2,796.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,303.00 | $2,796.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,303.00 | $2,796.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,303.00 | $2,796.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,303.00 | $2,796.95 | 2025-01-01 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | First Health | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | WebTPA | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Aetna | Medicaid Replacement | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | UHC Community Plan LA MCD Rep | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Gilsbar Inc | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Verity National Group | Default | $20.58 | $161.50 | $96.90 | 2025-07-16 | MRF ↗ |
| AVITA ONTARIO Both | Medical Mutual | Commercial | $21.63 | $8,024.00 | $6,820.40 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $22.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $24.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $25.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $25.00 | $143.00 | $71.00 | 2025-02-03 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $25.23 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $25.23 | — | — | 2026-03-28 | 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.