78814 — PET Image W/ct Lmtd
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PET IMAGE W/CT LMTD (HCPCS 78814) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78814?code_type=HCPCS
MLA (9th ed.)
“PET IMAGE W/CT LMTD (HCPCS 78814) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78814?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PET IMAGE W/CT LMTD (HCPCS 78814) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78814?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,461–$4,652 (25th–75th percentile) across 2,308 hospitals · 5,930 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78814 — 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
$2,380 typical
$4,652
The middle 50% of negotiated facility rates for this procedure, measured across 2,308 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. | $2,380 |
| Radiologist read Estimate national typical Medicare $99 × 1.8 commercial. | $177 |
| Likely subtotal | $2,558 |
Complete-episode estimate (typical)
~$2,558
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–$4,652.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $14,454.76 | $7,227.38 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $14,454.76 | $7,227.38 | 2024-12-15 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | 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 | 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 | 2026-03-01 | 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 | 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 | 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 MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Health Sun Health Plan | MGMCR | $0.23 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $22,326.00 | $16,744.50 | 2026-09-01 | 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 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $22,326.00 | $16,744.50 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | HIX | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $22,326.00 | $16,744.50 | 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 | $13,254.00 | $9,940.50 | 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 | Beacon Health Options | COMM | $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 | 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 | Prime Health Sherriff | 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $5,530.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $22,326.00 | $16,744.50 | 2026-09-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - Standard | $0.74 | $7,015.00 | $5,261.25 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - PPO | $0.74 | $7,015.00 | $5,261.25 | 2026-04-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2024-10-01 | 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 | $22,326.00 | $16,744.50 | 2026-09-01 | 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 ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $10,064.00 | $6,541.60 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $10,064.00 | $6,541.60 | 2026-06-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $10,935.00 | $8,201.25 | 2026-05-20 | 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 EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Beacon Health Options MCR | MCR | $1.00 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,626.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $4,482.23 | $1,726.04 | 2026-09-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $10,935.00 | $8,201.25 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $16,258.00 | $13,331.56 | 2025-11-26 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,187.00 | — | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $25,350.55 | $16,477.86 | 2025-11-26 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $16,258.00 | $13,331.56 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $10,935.00 | $8,201.25 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $10,504.00 | $7,878.00 | 2026-09-01 | 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 | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $10,504.00 | $7,878.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $16,258.00 | $13,331.56 | 2025-11-26 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,626.00 | $1,612.13 | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $16,258.00 | $13,331.56 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $10,935.00 | $8,201.25 | 2026-05-20 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $10,504.00 | $7,878.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $16,258.00 | $13,331.56 | 2025-11-26 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,187.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $10,504.00 | $7,878.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $10,504.00 | $7,878.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $16,258.00 | $13,331.56 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $19,371.70 | $12,591.61 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $10,935.00 | $8,201.25 | 2026-05-20 | 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 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $6,406.00 | — | 2025-06-28 | 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 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $10,672.00 | $5,336.00 | 2026-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | First Health Medicare | $2.92 | $7,015.00 | $5,261.25 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.01 | $396.00 | $75.24 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.01 | $405.00 | $76.95 | 2026-01-25 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $15.53 | $115.00 | $86.25 | 2026-01-16 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $18.79 | $7,618.00 | $7,618.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $18.79 | $9,673.00 | $9,673.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $18.79 | $7,618.00 | $7,618.00 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.13 | $10,626.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,125.00 | $2,681.25 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,125.00 | $2,681.25 | 2025-01-01 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $20.50 | $205.00 | $205.00 | 2026-07-15 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,125.00 | $2,681.25 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,125.00 | $2,681.25 | 2025-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $23.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $23.86 | $115.00 | $86.25 | 2026-01-16 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $24.92 | — | — | 2026-07-15 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $24.95 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $25.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $26.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.22 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.39 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.39 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $28.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $28.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $28.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $28.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $28.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $11,431.00 | $8,573.25 | 2024-12-08 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $301.00 | $225.75 | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $30.05 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $30.24 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $30.24 | — | — | 2026-03-18 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Aetna | Medicaid Replacement | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Gilsbar Inc | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | First Health | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | UHC Community Plan LA MCD Rep | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Verity National Group | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | WebTPA | Default | $30.31 | $237.90 | $142.74 | 2025-07-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $11,431.00 | $8,573.25 | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $32.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.72 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.92 | — | — | 2026-03-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $10,179.00 | $7,634.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $10,179.00 | $7,634.25 | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $34.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $34.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $16,258.00 | $13,331.56 | 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 ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $35.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $35.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $36.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $37.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $37.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $37.52 | $1,556.65 | — | 2026-08-17 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $37.77 | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $38.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $38.87 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $39.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $39.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $40.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $40.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $40.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $40.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $40.40 | — | — | 2026-08-19 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $40.81 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $41.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $41.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $41.25 | $1,556.65 | — | 2026-08-17 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $42.46 | $462.00 | $138.60 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $43.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_HOSP_OP_DEPT] | $44.12 | $570.00 | $570.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_AMB_SURG] | $44.12 | $570.00 | $570.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [HEALTHFIRST] | [ESS_3_4_MR/DD/TBI Pts] | $44.12 | $570.00 | $570.00 | 2024-09-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $45.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $45.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $46.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $46.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $46.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $46.20 | $462.00 | $138.60 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $46.66 | $462.00 | $138.60 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $47.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $47.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $48.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $48.00 | $201.00 | $201.00 | 2025-07-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $48.00 | $196.00 | $98.00 | 2025-02-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $48.00 | $201.00 | $201.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $48.00 | $201.00 | $201.00 | 2025-07-03 | 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.