78816 — PET Image W/ct Full Body
Cite this view
HANK Price Transparency. (n.d.). PET IMAGE W/CT FULL BODY (CPT 78816) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78816?code_type=CPT
“PET IMAGE W/CT FULL BODY (CPT 78816) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78816?code_type=CPT. Accessed .
“PET IMAGE W/CT FULL BODY (CPT 78816) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78816?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,502–$5,141 (25th–75th percentile) across 2,236 hospitals · 7,347 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78816 — 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 | — | — | $12,174.45 | $6,087.22 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $12,174.45 | $6,087.22 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,343.00 | $5,391.55 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,343.00 | $5,391.55 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,343.00 | $5,391.55 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,343.00 | $5,391.55 | 2025-01-01 | 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 | MCDSTAR | $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 | 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 ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medicare | Medicare | $0.52 | $11,277.00 | $8,457.75 | 2026-04-01 | 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 ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,450.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $12,650.00 | — | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,450.00 | $1,786.83 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $12,650.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,307.40 | $10,599.81 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $16,307.40 | $10,599.81 | 2025-11-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - Medicare | $1.08 | $11,277.00 | $8,457.75 | 2026-04-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $6,406.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $1.20 | $6,406.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $1.20 | $6,406.00 | — | 2025-06-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | 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 | UHC | 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 ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Molina | Molina Medi-Cal | $1.53 | $11,277.00 | $8,457.75 | 2026-04-01 | 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 | 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 | 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 ↗ |
| 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 | HealthSmart Preferred Care | PPO | $2.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.39 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.40 | $456.00 | $86.64 | 2026-01-25 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $3.67 | $6,526.00 | $4,568.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $3.67 | $6,526.00 | $4,568.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $3.67 | $6,526.00 | $4,568.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $3.67 | $6,526.00 | $4,568.20 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $3.67 | $6,526.00 | $4,568.20 | 2025-01-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Epic Americas | AXA Assistance | $3.84 | $11,277.00 | $8,457.75 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $3.86 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.86 | $4,845.00 | $3,149.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.86 | $4,845.00 | $3,149.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $3.86 | $8,364.00 | $5,436.60 | 2026-05-15 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $3.86 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $3.86 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $3.86 | $8,364.00 | $5,436.60 | 2026-05-15 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $3.86 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $3.86 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $3.86 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB ARDM BCBS OF OK NATIVEBLUE MCR 103% | $3.97 | $11,861.00 | $7,709.65 | 2026-03-12 | 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 ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $6.80 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - HMO | $7.47 | $11,277.00 | $8,457.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - PPO | $7.48 | $11,277.00 | $8,457.75 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | NOVASYS CONTRACTED [320285] | HB FTSM NOVASYS | $9.44 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | NOVASYS CONTRACTED [320285] | HB FTSM NOVASYS | $9.44 | $7,703.00 | $5,006.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $10.36 | $13,857.00 | $9,007.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE MEDICARE AND 100% MANAGED MEDICARE | $10.36 | $13,857.00 | $9,007.05 | 2026-03-18 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $14.90 | $10,000.00 | — | 2026-02-19 | MRF ↗ |
| COMPASS MEMORIAL HEALTHCARE Outpatient | Aetna HMO | HMO | $16.80 | $4,893.91 | — | 2026-02-12 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $17.15 | $127.00 | $95.25 | 2026-01-16 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $18.81 | $10,450.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $19.72 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,334.00 | $3,467.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,334.00 | $3,467.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,334.00 | $3,467.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,334.00 | $3,467.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,334.00 | $3,467.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,334.00 | $3,467.10 | 2025-01-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $22.50 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $23.20 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $23.20 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $23.20 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $23.20 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $23.20 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $23.20 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $24.36 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $24.36 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $24.85 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $25.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Multiplan | Multiplan | $25.45 | $11,277.00 | $8,457.75 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $26.22 | — | — | 2026-03-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $26.35 | $127.00 | $95.25 | 2026-01-16 | 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 ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $28.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY MEDICARE | COVENTRY MEDICARE | $28.42 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $28.42 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $13,913.00 | $10,434.75 | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $30.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - PPO | $30.03 | $11,277.00 | $8,457.75 | 2026-04-01 | 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 | $13,913.00 | $10,434.75 | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $32.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $32.00 | $252.00 | $126.00 | 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 HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $32.92 | — | — | 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 ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $33.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $11,435.00 | $8,576.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $11,435.00 | $8,576.25 | 2024-12-08 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PHCS GEHA Govt Employee Health Assc | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | PPO Plus LLC | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Peoples Health Network DOS lt 01012024 | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Multiplan Inc. for American Family | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | UHC Community Plan LA MCD Rep | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Gilsbar Inc | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | WebTPA | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | First Health | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Louisiana Healthcare Connections MCD Rep | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Aetna | Medicaid Replacement | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Both | Verity National Group | Default | $34.08 | $267.50 | $160.50 | 2025-07-16 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $38.48 | $652.00 | $652.00 | 2026-04-08 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $38.48 | $790.11 | $632.09 | 2026-02-23 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $38.48 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $38.48 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $38.48 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $38.48 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $38.48 | $787.00 | $629.60 | 2026-02-23 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MOLINA MEDICAID-ALL PLANS | MOLINA MEDICAID-ALL PLANS | $38.48 | $652.00 | $652.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MERIDIAN-ALL PLANS | MERIDIAN-ALL PLANS | $38.48 | $652.00 | $652.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | ILLINICARE - ALL PLANS | ILLINICARE - ALL PLANS | $38.48 | $652.00 | $652.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | BLUE CROSS COMMUNITY CARE-ALL PLANS | BLUE CROSS COMMUNITY CARE-ALL PLANS | $38.48 | $652.00 | $652.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID | HEALTH ALLIANCE MEDICAID | $38.48 | $652.00 | $652.00 | 2026-04-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $38.87 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $39.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | UMS Athletic Dept | Commercial | $39.00 | $12,361.00 | $2,843.03 | 2026-02-27 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $40.81 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $41.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $42.50 | $8,301.00 | $4,980.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $42.50 | $8,301.00 | $4,980.60 | 2026-02-12 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $43.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $44.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $45.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $45.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $46.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS NEW PRODUCT | MIDLANDS NEW PRODUCT | $47.56 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $48.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $48.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $49.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $4,701.00 | $2,820.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $4,701.00 | $2,820.60 | 2026-05-21 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL HMO | COVENTRY COMMERCIAL HMO | $49.30 | $58.00 | $34.80 | 2025-11-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $49.96 | $8,576.00 | $3,173.12 | 2026-03-31 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,231.00 | $1,150.82 | 2026-03-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | $13,913.00 | $10,434.75 | 2024-12-08 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,231.00 | $1,150.82 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,231.00 | $1,150.82 | 2026-03-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $50.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $50.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,231.00 | $1,150.82 | 2026-03-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $11,435.00 | $8,576.25 | 2024-12-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,231.00 | $1,150.82 | 2026-03-19 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $51.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $51.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $51.00 | $252.00 | $126.00 | 2025-02-03 | 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.