A4641 — Radiopharm Dx Agent Noc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RADIOPHARM DX AGENT NOC (HCPCS A4641) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A4641?code_type=HCPCS
MLA (9th ed.)
“RADIOPHARM DX AGENT NOC (HCPCS A4641) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A4641?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RADIOPHARM DX AGENT NOC (HCPCS A4641) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A4641?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $150–$701 (25th–75th percentile) across 820 hospitals · 2,582 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A4641 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$150
$359 typical
$701
The middle 50% of negotiated facility rates for this procedure, measured across 820 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $359 |
| Likely subtotal | $359 |
Facility charge (no separate professional fee)
$359
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 $150–$701.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| LOS ALAMOS MEDICAL CENTER Outpatient | Zelis Network Solutions | Zelis | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $167.48 | $92.11 | 2025-01-01 | MRF ↗ |
| LOS ALAMOS MEDICAL CENTER Outpatient | Aetna | Aetna | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| LOS ALAMOS MEDICAL CENTER Outpatient | Humana | Humana | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| LOS ALAMOS MEDICAL CENTER Outpatient | Uhc | Uhc Evercare | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $167.48 | $142.36 | 2025-01-01 | MRF ↗ |
| LOS ALAMOS MEDICAL CENTER Outpatient | Cigna | Cigna | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $279.13 | $195.39 | 2025-01-01 | MRF ↗ |
| LOS ALAMOS MEDICAL CENTER Outpatient | First Choice | First Choice | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $446.60 | $312.62 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $446.60 | $312.62 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $92.25 | $32.01 | 2025-09-09 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $167.48 | $142.36 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $167.48 | $92.11 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $167.48 | $92.11 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $279.13 | $195.39 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $167.48 | $142.36 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $279.13 | $153.52 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $279.13 | $153.52 | 2025-01-01 | MRF ↗ |
| LOS ALAMOS MEDICAL CENTER Outpatient | Presbyterian | Presbyterian Health | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $92.25 | $32.01 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $92.25 | $32.01 | 2025-09-09 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $446.60 | $312.62 | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - MA [10001] | CHA HB BCBS INDEMNITY | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS HEALTH [70001] | CHA HB Mass Health Limited | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BOSTON MEDICAL CENTER - WELLSENSE [50003] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS GENERAL BRIGHAM [50021] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - OUT OF STATE [10002] | CHA HB BCBS INDEMNITY | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED HEALTH [40002] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS TOGETHER W CHA [75001] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - MA [10001] | CHA HB BCBS HMO BLUE | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - OUT OF STATE [10002] | CHA HB BCBS PPO | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | HPHC [20001] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | $0.14 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - OUT OF STATE [10002] | CHA HB BCBS HMO BLUE | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS HEALTH [70001] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED HEALTH [40002] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | $0.14 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - MA [10001] | CHA HB BCBS PPO | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | FALLON [50006] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | HEALTH PLANS INC [20002] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | $0.14 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER TUFTS HEALTH PUBLIC PLAN [75002] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OOS MEDICAID [70002] | CHA HB MEDICAID-STANDARD | — | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE | $0.15 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | WELLPOINT [50012] | CHA HB UNICARE INDEMNITY | $0.17 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED HEALTH [40002] | CHA HB UNITED HEALTH CARE | $0.17 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OXFORD HEALTH [40004] | CHA HB UNITED HEALTH CARE | $0.17 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED MEDICAL RESOURCE [40005] | CHA HB UNITED HEALTH CARE | $0.17 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | AARP [40001] | CHA HB UNITED HEALTH CARE | $0.17 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS GENERAL BRIGHAM [50021] | CHA HB MASS GENERAL BRIGHAM | $0.17 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $0.18 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS HMO | $0.21 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS SPIRIT | $0.21 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS POS | $0.21 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | ESP DENTAL [99003] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TRICARE DENTAL [99005] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MAGELLAN HEALTH SERVICES [65098] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | DOMINION NATIONAL DENTAL [99012] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA DENTAL [99010] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | HEALTH SAFETY NET DENTAL [99002] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MODERN ASSISTANCE PROGRAM [30098] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CELTICARE [50004] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | RI NEIGHBORHOOD HEALTH PLAN [50017] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MA LABORERS HEALTH AND WELFARE FUND [50022] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER DENTAL PAYOR [99014] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | GLOBAL MEDICAL MANAGEMENT [50024] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | HUMANA [50008] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | COMMONWEALTH CARE ALLIANCE DENTAL [99004] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER VISION PAYOR [50013] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | NEIGHBORHOOD HEALTH PLAN [50011] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER COMMERCIAL PAYOR [50015] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER GOV'T ALT [85006] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | GUARDIAN DENTAL [99013] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | METLIFE DENTAL [99008] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CBHC UNINSURED CRISIS [70096] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | FIRST HEALTH [50007] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | EYEMED ALT PAYOR [13001] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MEDICAL MUTUAL OF OHIO [50019] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER BH PAYOR [50014] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | ALTUS DENTAL [99011] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MEDICARE ADVANTAGE ALT [60097] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CBHC UNINSURED CRISIS ALT PAYER [70097] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | AETNA DENTAL [99009] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | GOVERNMENT EMPLOYEE HEALTH ASSOCIATION [50023] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OTHER DUAL ELIGIBLE PAYER [65004] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BEACON HEALTH STRATEGIES [50002] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | BCBS - MA DENTAL [99006] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MEDICARE PART B ALT [60098] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | DELTA DENTAL OF MA [99007] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA BEHAVIORAL HEALTH [50016] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | DPH TB PAYOR [85004] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MVA [90002] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS HEALTH DENTAL [99001] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | COVERAGE DISCOVERY [90004] | CHA HB CATCH-ALL CONTRACT | $0.26 | $0.26 | $0.26 | 2026-03-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Neny | $0.27 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp | Mvp Commercial/Select | $0.27 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bcbs | Empire Bc | $0.27 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cigna | Mvp Commercial/Select | $0.27 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Self-Pay | Self-Pay | $0.65 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bc | Empire Bc | $0.65 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp Commercial/Select | Mvp Commercial/Select | $0.65 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $0.78 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $0.78 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $0.90 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $0.90 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Kaiser Medi-Cal | Kaiser Medi-Cal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Health Net Medi-Cal | Health Net Medi-Cal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Hpn Mcal | Hpn Mcal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Iehp Medi-Cal | Iehp Medi-Cal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Iehp Medi-Cal | Iehp Medi-Cal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Prospect Health Plan Mcal Hmo | Prospect Health Plan Mcal Hmo | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Hpn Mcal | Hpn Mcal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal/Pace | Altamed Mcal/Pace | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Kaiser Medi-Cal | Kaiser Medi-Cal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Prospect Health Plan Mcal Hmo | Prospect Health Plan Mcal Hmo | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal/Pace | Altamed Mcal/Pace | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Health Net Medi-Cal | Health Net Medi-Cal | $0.91 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Senior | $0.98 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND Commercial | BCBS ND | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Pomco | Pomco | $1.01 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Pomco | Pomco | $1.01 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | $1.04 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | United Healthcare | United Healthcare | $1.04 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Lasalle Medical Assoc (Ancillary) Mcal Hmo | Lasalle Medical Assoc (Ancillary) Mcal Hmo | $1.07 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Lasalle Medical Assoc (Ancillary) Mcal Hmo | Lasalle Medical Assoc (Ancillary) Mcal Hmo | $1.07 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $1.08 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Coventry | Coventry | $1.08 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $1.08 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Coventry | Coventry | $1.08 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Aetna | Aetna | $1.10 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $1.10 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $1.10 | $1.30 | $0.65 | 2026-07-15 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $1.11 | $3.00 | $1.50 | 2026-01-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Non-Contracted | Non-Contracted | $1.17 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Rmsco | Rmsco | $1.17 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $1.20 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $1.20 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Choice Physicians Network | Choice Physicians Network | $1.27 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal Hmo | Altamed Mcal Hmo | $1.27 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal Hmo | Altamed Mcal Hmo | $1.27 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| MENIFEE GLOBAL MEDICAL CENTER Outpatient | Choice Physicians Network | Choice Physicians Network | $1.27 | $91.00 | $91.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Tricare | Tricare | $1.30 | $1.30 | $0.65 | 2026-07-20 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Both | Cigna | Commercial | $1.34 | $4.10 | $2.67 | 2026-07-15 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $1.35 | $3.00 | $1.50 | 2026-01-17 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $1.48 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $1.48 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $1.50 | $5.00 | $2.75 | 2026-03-31 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA BEHAV HLTH | CIGNA BEHAV HLTH | $1.50 | $3.00 | $1.50 | 2026-01-17 | 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.