78813 — PET Image Full Body
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PET IMAGE FULL BODY (CPT 78813) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78813?code_type=CPT
MLA (9th ed.)
“PET IMAGE FULL BODY (CPT 78813) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78813?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PET IMAGE FULL BODY (CPT 78813) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78813?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,409–$3,753 (25th–75th percentile) across 1,563 hospitals · 3,463 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78813 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $10,565.72 | $5,282.86 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $10,565.72 | $5,282.86 | 2024-12-15 | 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 | 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 | STARPLUS | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $14,670.20 | $9,535.63 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $14,670.20 | $9,535.63 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,786.83 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $1.20 | $4,932.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $1.20 | $4,932.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $4,932.00 | — | 2025-06-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $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 | Blue Cross Blue Shield | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $1.29 | — | — | 2026-03-28 | 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 | Fidelis SecureCare | MGMCR | $1.80 | $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 | 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 | Aetna | WCOMP | $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 | Rockport Health Group | WORKERSCOMP | $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 ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.64 | $366.00 | $69.54 | 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 | 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 | 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 | 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 ↗ |
| MONMOUTH 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 | $13.91 | $103.00 | $77.25 | 2026-01-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $21.37 | $103.00 | $77.25 | 2026-01-16 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $24.18 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.39 | — | — | 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 ↗ |
| 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 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | 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_HOSP_OP_DEPT] | $39.82 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_AMB_SURG] | $39.82 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_MR/DD/TBI Pts] | $39.82 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $40.81 | — | — | 2026-05-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $43.00 | $181.00 | $181.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $43.00 | $181.00 | $181.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $43.00 | $181.00 | $181.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $43.00 | $181.00 | $181.00 | 2025-07-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMPIRE] | [HEALTHPLUS_AMB_SURG] | $44.79 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMPIRE] | [HEALTHPLUS_HOSP_OP_DEPT] | $44.79 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMPIRE] | [HEALTHPLUS_MR/DD/TBI Pts] | $44.79 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $46.35 | $103.00 | $77.25 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $48.78 | $322.00 | $48.30 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.78 | $356.00 | $67.64 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $48.78 | $322.00 | $48.30 | 2026-01-27 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,960.00 | $1,776.00 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,960.00 | $1,776.00 | 2026-05-18 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_1_2_MR/DD/TBI Pts] | $49.77 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_1_2_AMB_SURG] | $49.77 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_1_2_HOSP_OP_DEPT] | $49.77 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [FIDELIS] | [ESS_PLAN_PROG_HOSP_OP_DEPT] | $49.77 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [FIDELIS] | [ESS_PLAN_PROG_MR/DD/TBI Pts] | $49.77 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [FIDELIS] | [ESS_PLAN_PROG_AMB_SURG] | $49.77 | $505.00 | $505.00 | 2024-09-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $51.01 | $356.00 | $96.12 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $51.01 | $366.00 | $69.54 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $51.01 | $366.00 | $69.54 | 2026-01-25 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $52.79 | $357.11 | $233.55 | 2026-04-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $57.51 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $58.98 | $383.00 | $344.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $58.98 | $383.00 | $344.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $58.98 | $383.00 | $344.70 | 2024-07-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $59.00 | $181.00 | $181.00 | 2025-07-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $59.46 | — | — | 2025-10-24 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $59.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Adult | $59.84 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $59.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $59.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $59.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $59.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $59.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $59.84 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $62.06 | $383.00 | $344.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $62.06 | $383.00 | $344.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $62.06 | $383.00 | $344.70 | 2024-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $62.29 | — | — | 2025-10-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $63.26 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $63.26 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $63.26 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | $63.74 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $63.74 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Military East | $63.74 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Military East | $63.74 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | $63.74 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Military East | $63.74 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | $63.74 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $63.74 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $64.32 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $64.32 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $64.32 | — | — | 2025-08-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | $65.65 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | $65.65 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | $65.65 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | $65.65 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $66.16 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $66.16 | — | — | 2025-08-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Medicare | $66.93 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Medicare | $66.93 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Medicare | $66.93 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Medicare | $66.93 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $67.38 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $67.38 | — | — | 2025-08-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna Medicare | $68.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | $68.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna Medicare | $68.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | $68.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna Medicare | $68.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | $68.84 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | $68.84 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Medicare | $68.84 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Unicare | Wv Medicaid | $69.05 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | The Healthplan | Wv Medicaid | $69.05 | — | — | 2026-05-06 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | WellCare of TN | WellCare of TN | $70.12 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | WellCare of TN | WellCare of TN | $70.12 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | WellCare of TN | WellCare of TN | $70.12 | $882.00 | $476.28 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | WellCare of TN | WellCare of TN | $70.12 | $882.00 | $255.78 | 2025-10-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $71.07 | — | — | 2026-05-06 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $71.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $71.43 | — | — | 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.