78813 — PET Image Full Body
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PET IMAGE FULL BODY (HCPCS 78813) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78813?code_type=HCPCS
MLA (9th ed.)
“PET IMAGE FULL BODY (HCPCS 78813) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78813?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PET IMAGE FULL BODY (HCPCS 78813) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78813?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,401–$3,762 (25th–75th percentile) across 1,755 hospitals · 3,248 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.
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
$1,401
$1,853 typical
$3,762
The middle 50% of negotiated facility rates for this procedure, measured across 1,755 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. | $1,853 |
| Radiologist read Estimate national typical Medicare $89 × 1.8 commercial. | $159 |
| Likely subtotal | $2,013 |
Complete-episode estimate (typical)
~$2,013
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 $1,401–$3,762.
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 | — | — | — | $10,565.72 | $5,282.86 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $10,565.72 | $5,282.86 | 2024-12-15 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2026-03-01 | 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 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | MCR | $0.19 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Health Sun Health Plan | MGMCR | $0.21 | $1.00 | $1.00 | 2026-03-01 | 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 ↗ |
| 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 | 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 | 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 ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Aetna | ASA | $0.30 | $1.00 | $1.00 | 2026-03-01 | 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 ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Plotkin Health | COMM | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health Sherriff | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Texas Health And Human Services Commission Crs Hospital Services | Workers Compensation | $0.50 | $1.00 | — | 2026-07-15 | 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 | AvMed | JacksonFirstNetworkOON | $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 ↗ |
| Laredo Specialty Hospital Lp Inpatient | Paradigm | Workers Compensation | $0.70 | $1.00 | — | 2026-07-15 | MRF ↗ |
| Laredo Specialty Hospital Lp Inpatient | Paradigm | Workers Compensation | $0.70 | $1.00 | — | 2026-07-15 | 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 ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health | PPO | $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 | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $0.96 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | — | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | 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 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $9,587.00 | $4,793.50 | 2026-07-01 | 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 ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Beacon Health Options MCR | MCR | $1.00 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $14,670.20 | $9,535.63 | 2025-11-26 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $4,247.00 | $1,612.13 | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $9,587.00 | $4,793.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $9,587.00 | $4,793.50 | 2026-07-01 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Department Of Corrections | Network Provider | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Inter Valley Health Plan | Medicare Replacement | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Hmo Ppo | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Tricare West Healthnet | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Three Rivers Provider Network | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Net | Medi-Connect Dual | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Integrated Health Plan | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Three Rivers Provider Network | Auto | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Workers Compensation | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicare Replacement | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Easy Choice | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Multiplan | Phcs Network Savility Healtheos Network | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medi-Cal Aim Healthy Families | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicare Replacement | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Tandem Ppo | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Networks By Design | Workers Compensation | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Tandem Ppo | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Hmo Ppo | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Adva-Net Work Comp | Paradigm Specialty Network | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Naphcare | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | United Health Care | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | United Health Care | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Beaver Medical Group | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Medicaid | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Medicaid | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | 65 Plus Medicare Advantage | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Medicare Risk | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | First Health Broadshire Ccn Concentra Coventry | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Cigna | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Commercial Epn | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Beaver Medical Group | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Tricare | Workers Compensation | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Medicare Risk | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Auto | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicaid Replacement | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Medincrease | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Hpo Auto | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | California Correctional Health | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Integrated Health Plan | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Net | Medi-Connect Dual | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medi-Cal Aim Healthy Families | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Americas Choice Provider Network | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Interplan | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Multiplan Complimentary | Multiplan Value Point | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Interplan | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Workers Compensation | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | One Health Great West | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Triwest Healthcare Alliance | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | One Health Great West | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Hpo Auto | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | 65 Plus Medicare Advantage | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Corvel | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Easy Choice | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Inter Valley Health Plan | Medicare Replacement | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Provider Network Of Amercia | Tpa | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Networks By Design | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | First Health Broadshire Ccn Concentra Coventry | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Commercial Epn | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Auto | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicaid Replacement | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Corvel | Commercial | $1.15 | $1.15 | $1.15 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Commercial | $1.15 | $1.15 | — | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $9,587.00 | $4,793.50 | 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 | $9,587.00 | $4,793.50 | 2026-07-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | 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 | 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 | 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 ↗ |
| 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 | $9,587.00 | $4,793.50 | 2026-07-01 | 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 | PC Texas Partners | 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 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $9,587.00 | $4,793.50 | 2026-07-01 | 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 ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.64 | $356.00 | $67.64 | 2026-05-20 | 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 | 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 | 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 | Independent Medical Systems | COMM | $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 | Unicare | MCD | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $5.28 | — | — | 2026-07-15 | 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 | $13.91 | $103.00 | $77.25 | 2026-01-16 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $17.19 | $8,846.00 | $8,846.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $17.19 | $8,846.00 | $8,846.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $17.19 | $8,846.00 | $8,846.00 | 2026-07-15 | 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 ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $21.83 | — | — | 2026-07-15 | 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 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 ↗ |
| 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 ↗ |
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.