78816 — PET Image W/ct Full Body
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PET IMAGE W/CT FULL BODY (HCPCS 78816) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78816?code_type=HCPCS
MLA (9th ed.)
“PET IMAGE W/CT FULL BODY (HCPCS 78816) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78816?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PET IMAGE W/CT FULL BODY (HCPCS 78816) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78816?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,495–$5,426 (25th–75th percentile) across 2,679 hospitals · 7,253 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.
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
$1,495
$2,792 typical
$5,426
The middle 50% of negotiated facility rates for this procedure, measured across 2,679 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. | $2,792 |
| Radiologist read Estimate national typical Medicare $111 × 1.8 commercial. | $200 |
| Likely subtotal | $2,993 |
Complete-episode estimate (typical)
~$2,993
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 $1,495–$5,426.
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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL 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 ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $12,174.45 | $6,087.22 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $12,174.45 | $6,087.22 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL 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 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 | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Simply Healthcare Plans | MGMCR | $0.13 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Simply Healthcare Plans | MGMCR | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Freedom Health | MGMCD | $0.16 | $1.00 | $1.00 | 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 | $20,673.00 | $15,504.75 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Sunshine State Health Plan | QHP | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $20,673.00 | $15,504.75 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | HIX | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Molina | HIX | $0.27 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| 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 | STARKids | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Sunshine State Health Plan | QHP | $0.28 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | 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 | MCDSTAR | $0.28 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Aetna | ASA | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $20,673.00 | $15,504.75 | 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 | $14,403.00 | $10,802.25 | 2026-09-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp Commercial/Select | Mvp Commercial/Select | $0.50 | $1.00 | $0.50 | 2026-07-20 | 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 | 2026-03-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health Sherriff | COMM | $0.50 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Plotkin Health | COMM | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Self-Pay | Self-Pay | $0.50 | $1.00 | $0.50 | 2026-07-20 | 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 | Beacon Health Options | COMM | $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 ↗ |
| 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $13,513.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $20,673.00 | $15,504.75 | 2026-09-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.75 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Pomco | Pomco | $0.78 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.79 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | United Healthcare | United Healthcare | $0.80 | $1.00 | $0.50 | 2026-07-20 | 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 | $20,673.00 | $15,504.75 | 2026-09-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $0.83 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Coventry | Coventry | $0.83 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $0.85 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $0.85 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health | PPO | $0.85 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Aetna | Aetna | $0.85 | $1.00 | $0.50 | 2026-07-20 | 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 ↗ |
| ELLIS HOSPITAL Inpatient | Rmsco | Rmsco | $0.90 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Non-Contracted | Non-Contracted | $0.90 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $0.96 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| 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 | Health Net of California, Inc. | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $9,308.00 | $6,981.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $18,281.00 | $13,710.75 | 2024-12-11 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,450.00 | $1,612.13 | 2024-12-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $9,308.00 | $6,981.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $9,308.00 | $6,981.00 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $15,657.00 | $7,828.50 | 2026-07-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $14,084.00 | $10,563.00 | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | 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 BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $9,308.00 | $6,981.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| 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 | United Healthcare | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $10,450.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $19,276.00 | $15,806.32 | 2025-11-26 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Beacon Health Options MCR | MCR | $1.00 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $16,307.40 | $10,599.81 | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $9,308.00 | $6,981.00 | 2026-05-20 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $24,278.00 | $18,208.50 | 2024-12-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $11,153.00 | $8,364.75 | 2026-09-01 | MRF ↗ |
| 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 ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $12,650.00 | — | 2024-12-31 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $5,073.72 | $1,726.04 | 2026-09-05 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $10,535.00 | $7,901.25 | 2026-09-01 | MRF ↗ |
| 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 | $15,657.00 | $7,828.50 | 2026-07-01 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $15,657.00 | $7,828.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $15,657.00 | $7,828.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $15,657.00 | $7,828.50 | 2026-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1.20 | $6,406.00 | — | 2025-06-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | 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 | $15,657.00 | $7,828.50 | 2026-07-01 | 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 | 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 | 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 | Physicians Coop of TX | MGMCR | $2.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.19 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.31 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.39 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $15,657.00 | $7,828.50 | 2026-07-01 | 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 | 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 | 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 ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.40 | $447.00 | $84.93 | 2026-05-20 | 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] | 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 SELECT [10026309] | $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 HMO OUT IPA [10026302] | $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 SOUTH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.86 | $4,845.00 | $3,149.25 | 2026-06-10 | 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 | 2026-06-09 | 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 | 2026-06-09 | 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 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 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 | 2026-03-15 | 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 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 SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.86 | $4,845.00 | $3,149.25 | 2026-06-10 | 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 | 2026-03-15 | 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 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 | National Healthcare Solutions | COMM | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $3.99 | $3.99 | $3.99 | 2026-03-01 | MRF ↗ |
| 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 ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $6.80 | $652.00 | $652.00 | 2026-06-03 | 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 ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $8.00 | $20.00 | $7.20 | 2026-07-15 | 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 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 | 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 ↗ |
| 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 ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Cigna | Cigna | $11.88 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $12.00 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $13.76 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Tricare | Tricare | $14.00 | $20.00 | $7.20 | 2026-07-15 | 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 ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Tricare | Tricare | $18.00 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $18.81 | $10,450.00 | $1,635.19 | 2024-12-31 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicare | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Geisinger Health Plan | Geisinger Medicare | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $19.68 | $20.00 | $7.20 | 2026-07-15 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $19.72 | $58.00 | $34.80 | 2025-11-18 | 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.