78830 — Rp Loclzj Tum Spect W/ct 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RP LOCLZJ TUM SPECT W/CT 1 (CPT 78830) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78830?code_type=CPT
MLA (9th ed.)
“RP LOCLZJ TUM SPECT W/CT 1 (CPT 78830) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78830?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RP LOCLZJ TUM SPECT W/CT 1 (CPT 78830) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78830?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,202–$2,697 (25th–75th percentile) across 2,273 hospitals · 5,743 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78830 — 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
$1,202
$1,626 typical
$2,697
The middle 50% of negotiated facility rates for this procedure, measured across 2,273 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. | $1,626 |
| Radiologist read Estimate national typical Medicare $65 × 1.8 commercial. | $117 |
| Likely subtotal | $1,744 |
Complete-episode estimate (typical)
~$1,744
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 $1,202–$2,697.
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 |
|---|---|---|---|---|---|---|---|
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $9,008.00 | $5,855.20 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $9,008.00 | $5,855.20 | 2026-06-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $13,125.75 | $8,531.74 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $13,125.75 | $8,531.74 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $9,008.00 | $5,855.20 | 2026-06-15 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,767.00 | $476.70 | 2026-07-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.04 | $268.00 | $50.92 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.04 | $263.00 | $49.97 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.04 | $268.00 | $50.92 | 2026-01-25 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $5,836.00 | — | 2025-06-28 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.42 | $4,125.00 | $1,457.24 | 2024-12-31 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $7.98 | $1,273.00 | $1,273.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $7.98 | $1,273.00 | $1,273.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $7.98 | $1,273.00 | $1,273.00 | 2026-06-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $7.98 | $1,273.00 | $1,273.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $7.98 | $1,273.00 | $1,273.00 | 2026-06-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $7.98 | $1,273.00 | $1,273.00 | 2026-06-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $7.98 | $1,273.00 | $1,273.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $7.98 | $1,273.00 | $1,273.00 | 2026-06-08 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $7.98 | $457.00 | $365.60 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $7.98 | $457.00 | $365.60 | 2026-02-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $17.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $7,766.97 | $5,048.53 | 2025-11-26 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $20.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $20.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,296.00 | $1,492.40 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,296.00 | $1,492.40 | 2025-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $21.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $23.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $23.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $23.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $24.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $24.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $24.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $24.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $25.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $25.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $26.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $27.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $27.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $28.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $28.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $28.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $28.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $29.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $29.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $29.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $29.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $29.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $29.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $30.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $30.90 | $206.00 | $154.50 | 2026-05-22 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $31.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $32.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $32.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $32.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $33.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $33.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $33.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $33.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $33.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $34.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $36.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $37.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $37.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $37.20 | $248.00 | $47.12 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $263.00 | $71.01 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $263.00 | $71.01 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $263.00 | $49.97 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $268.00 | $50.92 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $268.00 | $50.92 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $268.00 | $50.92 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $268.00 | $50.92 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $263.00 | $49.97 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $37.52 | $263.00 | $71.01 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $37.62 | $263.00 | $39.45 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $37.62 | $263.00 | $39.45 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $37.62 | $263.00 | $52.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $37.62 | $263.00 | $49.97 | 2026-05-22 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Aetna | Aetna | $40.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | WC - Workers Compensation | WC - Workers Compensation | $40.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $1,994.00 | $1,196.40 | 2026-05-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | WC - Workers Compensation | WC - Workers Compensation | $43.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $44.19 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $45.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $46.43 | — | — | 2026-04-01 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $46.84 | $234.00 | $81.90 | 2026-02-25 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $46.89 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | PACIFICSOURCE - ALL PLANS | PACIFICSOURCE - ALL PLANS | $48.00 | $465.00 | $251.10 | 2026-05-22 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $51.79 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP | HAP | $54.00 | $119.00 | $59.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $54.81 | $465.00 | $251.10 | 2026-05-22 | MRF ↗ |
| DOCTORS HOSPITAL OF LAREDO Both | Driscoll | Medicaid | $56.17 | $12,882.00 | $5,152.80 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan - Midlevels | $58.23 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan - Midlevels | $58.23 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $58.71 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $58.71 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HealthFirst | Medicaid, Essential 3&4 & HARP - Paraprofessional | $59.27 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HealthFirst | Medicaid, Essential 3&4 & HARP - Paraprofessional | $59.27 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Medicare Midlevels | $60.33 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Medicare Midlevels | $60.33 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | BC MCAL | BC MCAL | $60.72 | $5,707.00 | $1,255.54 | 2026-01-25 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Wellcare | Medicaid - PAs & NPs | $61.11 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Medicare Midlevels | $61.11 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Medicare Midlevels | $61.11 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Wellcare | Medicaid - PAs & NPs | $61.11 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Medicare | Part B - PA's & NP's | $61.11 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare Midlevels | $61.11 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare Midlevels | $61.11 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Medicare | Part B - PA's & NP's | $61.11 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Medicare Midlevels | $61.11 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Medicare Midlevels | $61.11 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE - ALL OTHER PLANS | HEALTH ALLIANCE - ALL OTHER PLANS | $62.36 | $1,273.00 | $1,273.00 | 2026-02-13 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $62.75 | $176.25 | $114.56 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $62.75 | $176.25 | $114.56 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $62.75 | $176.25 | $114.56 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $62.75 | $176.25 | $114.56 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $62.75 | $176.25 | $114.56 | 2026-08-10 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $63.05 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $63.05 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $63.13 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $63.13 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | INDEPENDENT CARE MCR - ALL OTHER PLANS | INDEPENDENT CARE MCR - ALL OTHER PLANS | $63.13 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | GROUP HLTH MCR ADV - ALL PLANS | GROUP HLTH MCR ADV - ALL PLANS | $63.13 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $63.13 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | SECURITY HP MCR ADV | SECURITY HP MCR ADV | $63.13 | $503.00 | $289.23 | 2026-03-03 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HealthFirst | Commercial, Medicare & FIDA_Paraprofessional | $63.31 | $2,145.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HealthFirst | Commercial, Medicare & FIDA_Paraprofessional | $63.31 | $585.00 | $1,402.83 | 2026-04-01 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CENTER CARE SELECT - ALL PLANS | CENTER CARE SELECT - ALL PLANS | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS MCR SELECT | BLUE CROSS MCR SELECT | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | SIGNATURE HEALTH - ALL PLANS | SIGNATURE HEALTH - ALL PLANS | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | WELLCARE MCR ADV - ALL OTHER PLANS | WELLCARE MCR ADV - ALL OTHER PLANS | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | SIGNATURE HEALTH - ALL PLANS | SIGNATURE HEALTH - ALL PLANS | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | WELLCARE MCR ADV - ALL OTHER PLANS | WELLCARE MCR ADV - ALL OTHER PLANS | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CENTER CARE SELECT - ALL PLANS | CENTER CARE SELECT - ALL PLANS | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS MCR SELECT | BLUE CROSS MCR SELECT | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $63.33 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | TRICARE FOR LIFE - ALL PLANS | TRICARE FOR LIFE - ALL PLANS | $63.42 | $2,669.00 | $1,601.40 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | HUMANA MEDICARE - ALL PLANS | HUMANA MEDICARE - ALL PLANS | $63.42 | $2,669.00 | $1,601.40 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | INCLUSIVE HEALTH (NCHIRP)-ALL PLANS | INCLUSIVE HEALTH (NCHIRP)-ALL PLANS | $63.42 | $2,669.00 | $1,601.40 | 2026-07-17 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $63.51 | $279.00 | $209.25 | 2026-06-26 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $63.84 | — | — | 2026-01-02 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $64.15 | $279.00 | $209.25 | 2026-06-26 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | APIPA - MEDICARE | APIPA - MEDICARE | $64.39 | $234.00 | $81.90 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | HEALTH CHOICE GENERATIONS | HEALTH CHOICE GENERATIONS | $64.39 | $234.00 | $81.90 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | HPN SIERRA NEVADA MCR ADV | HPN SIERRA NEVADA MCR ADV | $64.39 | $234.00 | $81.90 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $64.39 | $234.00 | $81.90 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | AETNA MCARE | AETNA MCARE | $64.48 | $465.00 | $251.10 | 2026-05-22 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $64.60 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $64.60 | $170.00 | $110.50 | 2026-04-23 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $64.63 | $176.25 | $114.56 | 2026-08-10 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $64.75 | $263.00 | $71.01 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $64.75 | $263.00 | $71.01 | 2026-01-31 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | — | — | — | $4,333.00 | $3,249.75 | 2024-12-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $64.98 | $457.00 | $365.60 | 2026-02-23 | 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.