A9500 — Kit Preparation Of Tc 99m-sestamibi Combo No.1 IV Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (HCPCS A9500) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9500?code_type=HCPCS
MLA (9th ed.)
“KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (HCPCS A9500) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9500?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (HCPCS A9500) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9500?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $132–$512 (25th–75th percentile) across 2,973 hospitals · 7,623 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9500 — 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
$132
$280 typical
$512
The middle 50% of negotiated facility rates for this procedure, measured across 2,973 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $280 |
| Likely subtotal | $280 |
Facility charge (no separate professional fee)
$280
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 $132–$512.
- 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 |
|---|---|---|---|---|---|---|---|
| University of Arkansas Medical Sciences Outpatient | Municipal Health Benefit Fund | Municipal Health Benefit Fund | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $221.60 | $121.88 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Devoted Health Plan | Devoted Health Plan | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Commercial | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $132.96 | $113.02 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Ambetter | Ambetter | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Multiplan | Multiplan | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Tribute Health | Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Medicare Advantage | Blue Cross Blue Shield Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna | Cigna | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Va | Community Care Network | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Essence Healthcare | Essence Healthcare | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Summit Community Care | Summit Community Care | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $132.96 | $73.13 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Optum Health Transplant | Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Metroplus | Health Plan Medicaid/Hic/Snp/Chp/Mltc | — | $267.00 | $267.00 | 2026-07-15 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | First Health | First Health | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Premium Hmo | Blue Cross Blue Shield Premium Hmo | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Dual Elig Medicare Advantage | Wellcare Dual Elig Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $132.96 | $73.13 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Caresource Passe | Caresource Passe | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $132.96 | $113.02 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Commercial | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $132.96 | $113.02 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $4,759.00 | $2,379.50 | 2024-12-15 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare By Allwell | Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Vantos | Vantos | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Northwest Health Plan | Northwest Health Plan | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Total Care | Arkansas Total Care | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $221.60 | $121.88 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna Healthspring Medicare Advantage | Cigna Healthspring Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Qualchoice Novasys | Qualchoice Novasys | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Empower | Empower | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Medicare | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Triwest | Triwest | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $354.56 | $248.19 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,759.00 | $2,379.50 | 2024-12-15 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Healthscope Benefits | Healthscope Benefits | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $354.56 | $248.19 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna C | 16 | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Choicecare Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $132.96 | $73.13 | 2025-01-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Non | Dual Elig Medicare Advantage | — | $222.08 | $133.25 | 2026-05-08 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Consumer Health Network | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | MagnaCare | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | MagnaCare | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | EmblemHealth | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Aetna | Commercial | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health Coventry | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | First Health | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_0000 | FIDELIS ESSENTIAL PLAN 1-2 IP AND OP NO RATE CODE | $0.04 | $762.56 | $10.87 | 2025-01-19 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Beechstreet | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Devon | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Consumer Health Network | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $0.17 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $0.17 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $0.17 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $0.19 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HMO | $0.19 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.19 | $106.00 | — | 2024-12-31 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HIX | $0.19 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | PPO | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | POS | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | EPO | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA | HIX | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $0.25 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $0.32 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $0.32 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $0.34 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | HMO | $0.34 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccess | $0.34 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $0.35 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | EPO | $0.36 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | PPO | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $0.39 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Curative Administrators | COMM | $0.40 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $0.40 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | PPO | $0.41 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $0.55 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $0.55 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $0.55 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| LINCOLN MEDICAL CENTER Both | Cigna Healthspring Mcr Adv | Default | $0.60 | $4.00 | $1.90 | 2026-07-15 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $0.60 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $473.00 | — | 2026-07-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $0.63 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $0.68 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $0.70 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $0.71 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCD | $0.75 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCR | $0.75 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $0.80 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $0.80 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $0.90 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $0.90 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $0.90 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $0.90 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $0.90 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $2,491.00 | $1,868.25 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $815.00 | $611.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $815.00 | $611.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $815.00 | $611.25 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $280.00 | $140.00 | 2026-07-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Aetna Teachers' Retirement System | HMO | $1.00 | $7,484.00 | — | 2026-01-23 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $700.00 | $525.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $700.00 | $525.00 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $700.00 | $525.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $700.00 | $525.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $815.00 | $611.25 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $2,576.00 | $1,932.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $2,576.00 | $1,932.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $2,491.00 | $1,868.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,195.00 | $979.90 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $700.00 | $525.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $815.00 | $611.25 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $280.00 | $140.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $280.00 | $140.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $280.00 | $140.00 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.20 | $666.00 | — | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $280.00 | $140.00 | 2026-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Medicare PPO | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $1.22 | $8.16 | — | 2025-07-30 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $3,427.50 | $2,227.88 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $3,427.50 | $2,227.88 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $3,427.50 | $2,227.88 | 2025-11-26 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $1.30 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $1.30 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | EXCHANGE | $1.30 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | EXCHANGE | $1.30 | $8.16 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | EXCHANGE | $1.30 | $8.16 | — | 2025-07-30 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | SELF PAY GT 08.31.23 | SELF PAY 090123 | $1.31 | $5.25 | $1.31 | 2025-10-06 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MOLINA | EXCHANGE | $1.31 | $8.16 | — | 2025-07-30 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | FINANCIAL ASSISTANCE | FINANCIAL ASSISTANCE | $1.31 | $5.25 | $1.31 | 2025-10-06 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $1.31 | $8.16 | — | 2025-07-30 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | PRESUMPTIVE ELIGIBILITY | PRESUMPTIVE ELIGIBILITY | $1.31 | $5.25 | $1.31 | 2025-10-06 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | SELF PAY LT 090123 | DNU SELF PAY PRIOR 9.1.23 | $1.31 | $5.25 | $1.31 | 2025-10-06 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $1.31 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $1.31 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | EXCHANGE | $1.31 | $8.16 | — | 2025-07-30 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Both | MEDICAID PENDING | MEDICAID PENDING | $1.31 | $5.25 | $1.31 | 2025-10-06 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MOLINA | EXCHANGE | $1.31 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $1.38 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AVMED | Medicare | $1.38 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AVMED | Medicare | $1.38 | $8.16 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AVMED | Medicare | $1.38 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $1.38 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $1.39 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $1.39 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $1.39 | $8.16 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | EXCHANGE | $1.39 | $8.16 | — | 2025-07-30 | 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.