78812 — PET Image Skull-thigh
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PET IMAGE SKULL-THIGH (CPT 78812) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78812?code_type=CPT
MLA (9th ed.)
“PET IMAGE SKULL-THIGH (CPT 78812) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78812?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PET IMAGE SKULL-THIGH (CPT 78812) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78812?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,400–$3,686 (25th–75th percentile) across 1,780 hospitals · 3,734 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78812 — 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
$1,400
$1,877 typical
$3,686
The middle 50% of negotiated facility rates for this procedure, measured across 1,780 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. | $1,877 |
| Radiologist read Estimate national typical Medicare $87 × 1.8 commercial. | $156 |
| Likely subtotal | $2,032 |
Complete-episode estimate (typical)
~$2,032
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 $1,400–$3,686.
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 HOSPITAL MANSFIELD Inpatient | — | — | — | $16,588.56 | $8,294.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $16,588.56 | $8,294.28 | 2024-12-15 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Simply Healthcare Plans | MGMCR | $0.13 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Simply Healthcare Plans | MGMCR | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCD | $0.16 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCD | $0.16 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | MCR | $0.19 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | MCR | $0.19 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Health Sun Health Plan | MGMCR | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Health Sun Health Plan | MGMCR | $0.23 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Sunshine State Health Plan | QHP | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | HIX | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | HIX | $0.27 | $1.00 | $1.00 | 2026-03-01 | 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 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Sunshine State Health Plan | QHP | $0.28 | $1.00 | $1.00 | 2024-10-01 | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Aetna | ASA | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | United PPO | OptionsPPO | $0.44 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | United | GlobalBenefitPlanAppendix | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | United | GlobalBenefitPlanAppendix | $0.45 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | United PPO | OptionsPPO | $0.47 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $12,000.00 | $9,000.00 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | AvMed | JacksonFirstNetworkOON | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Plotkin Health | WORKERSCOMP | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Plotkin Health | COMM | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | AvMed | JacksonFirstNetworkOON | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health Sherriff | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Beacon Health Options | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health Sherriff | COMM | $0.50 | $1.00 | $1.00 | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health | PPO | $0.80 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $0.85 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health | PPO | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $10,064.00 | $6,541.60 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $10,064.00 | $6,541.60 | 2026-06-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $0.96 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | — | 2024-12-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Beacon Health Options MCR | MCR | $1.00 | $1.00 | $1.00 | 2024-10-01 | 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 ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,612.13 | 2024-12-31 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,464.87 | $10,702.17 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $16,464.87 | $10,702.17 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $9,370.00 | $4,685.00 | 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 ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $4,690.43 | $1,726.04 | 2026-09-05 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| 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 ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | 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 TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | 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 EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | 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 ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $10,064.00 | $6,541.60 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $9,370.00 | $4,685.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $9,370.00 | $4,685.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $9,370.00 | $4,685.00 | 2026-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $4,932.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $9,370.00 | $4,685.00 | 2026-07-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.35 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Solis Health Plan | MCR | $1.45 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $9,370.00 | $4,685.00 | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.10 | $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 | 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 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $9,370.00 | $4,685.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.63 | $350.00 | $66.50 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.63 | $358.00 | $68.02 | 2026-01-25 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $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 | Multiplan PHCS | PrimaryNetwork | $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 | Aetna Coventry First Health | COMM | $2.90 | $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 | HealthSmart Preferred Care | PPO | $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 ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.64 | $4,247.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $13.37 | $99.00 | $74.25 | 2026-01-16 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $16.59 | $11,898.00 | $11,898.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $16.59 | $11,898.00 | $11,898.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $16.59 | $11,898.00 | $11,898.00 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $20.54 | $99.00 | $74.25 | 2026-01-16 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $21.70 | $8,816.00 | — | 2026-02-19 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $21.75 | — | — | 2026-07-15 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $23.15 | — | — | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $23.43 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $24.78 | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | PPO | $24.96 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | $24.96 | $53.00 | $43.46 | 2025-11-26 | 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 ↗ |
| IBERIA MEDICAL CENTER Both | Aetna | Medicaid Replacement | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | UHC Community Plan LA MCD Rep | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Verity National Group | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | WebTPA | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | First Health | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Gilsbar Inc | Default | $27.19 | $213.43 | $128.06 | 2025-07-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | 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 ↗ |
| 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $5,670.00 | $4,252.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $5,670.00 | $4,252.50 | 2024-12-08 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $35.61 | — | — | 2026-08-19 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $37.31 | $406.00 | $121.80 | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $38.87 | — | — | 2026-05-06 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_AMB_SURG] | $38.98 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_MR/DD/TBI Pts] | $38.98 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_HOSP_OP_DEPT] | $38.98 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | UMS Athletic Dept | Commercial | $39.00 | $8,003.00 | $1,840.69 | 2026-02-27 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $40.60 | $406.00 | $121.80 | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $40.81 | — | — | 2026-05-06 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $41.01 | $406.00 | $121.80 | 2026-07-15 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $42.00 | $177.00 | $177.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $42.00 | $177.00 | $177.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $42.00 | $177.00 | $177.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $42.00 | $177.00 | $177.00 | 2025-07-03 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMPIRE] | [HEALTHPLUS_MR/DD/TBI Pts] | $43.85 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMPIRE] | [HEALTHPLUS_AMB_SURG] | $43.85 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMPIRE] | [HEALTHPLUS_HOSP_OP_DEPT] | $43.85 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $44.55 | $99.00 | $74.25 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.47 | $350.00 | $66.50 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.47 | $350.00 | $70.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $48.47 | $386.00 | $57.90 | 2026-07-15 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA HMO | CIGNA HMO | $48.47 | $386.00 | $57.90 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $48.47 | $386.00 | $57.90 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $48.47 | $350.00 | $52.50 | 2026-10-05 | 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.