A9504 — Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Technetium Tc-99m apcitide diagnostic per study dose up to 20 millicuries (HCPCS A9504) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9504?code_type=HCPCS
MLA (9th ed.)
“Technetium Tc-99m apcitide diagnostic per study dose up to 20 millicuries (HCPCS A9504) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9504?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Technetium Tc-99m apcitide diagnostic per study dose up to 20 millicuries (HCPCS A9504) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9504?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $509–$2,076 (25th–75th percentile) across 1,015 hospitals · 1,578 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9504 — 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
$509
$867 typical
$2,076
The middle 50% of negotiated facility rates for this procedure, measured across 1,015 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $867 |
| Likely subtotal | $867 |
Facility charge (no separate professional fee)
$867
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 $509–$2,076.
- 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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $26,760.00 | $22,746.00 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $44,600.00 | $31,220.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $44,600.00 | $24,530.00 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $71,360.00 | $49,952.00 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $44,600.00 | $31,220.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $26,760.00 | $14,718.00 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $26,760.00 | $22,746.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $26,760.00 | $22,746.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $26,760.00 | $14,718.00 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $26,760.00 | $14,718.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $44,600.00 | $24,530.00 | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,159.00 | $1,619.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,159.00 | $1,619.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,159.00 | $1,619.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,159.00 | $1,619.25 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,159.00 | $1,619.25 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $2.10 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $2.10 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | WORKERS COMP | $2.32 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PERSONAL INJURY | $2.36 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | BEHAVIORAL HEALTH MEDICAID | $2.41 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | BEHAVIORAL HEALTH | $2.42 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID ADV_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FRESENIUS | MEDICARE ADVANTAGE | $2.70 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $3.00 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED CARE | $4.20 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | INDEMNITY/PPO | $4.44 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | LOCAL 734 | ALL PRODUCTS | $4.50 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | BEHAVIORAL HEALTH | $4.80 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $4.80 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $4.80 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | MAGNACARE | ALL PRODUCTS | $4.80 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FIRST MCO | WORKERS COMP | $5.10 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | INTERGROUP | ALL PRODUCTS | $5.10 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $6.38 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $6.49 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $6.49 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $6.65 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $6.65 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $6.66 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $7.01 | — | — | 2025-08-01 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $7.30 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Anthem Blue Cross | Medicare Advantage | $7.30 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $7.30 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Kaiser | Medicare PPO | $7.30 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | CMS Medicare | Medicare PPO | $7.30 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $7.64 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Cigna | Qhp | $7.73 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | El Paso Health Dual | Medicare Advantage | $8.40 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Medicaid | Medicaid | $8.78 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of North Carolina | Blue Value | $9.05 | — | — | 2025-08-12 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Superior Tx | Medicaid | $9.13 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $9.18 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $9.18 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $9.18 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $9.18 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $9.18 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $9.26 | — | — | 2025-07-22 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Capital Blue Cross | F8103_Capital Blue Cross | $9.50 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $9.50 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Capital Blue Cross | F8103_Capital Blue Cross | $9.50 | — | — | 2026-04-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $9.50 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $9.50 | — | — | 2025-08-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $9.50 | — | — | 2026-04-01 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | $10.39 | $53.82 | $53.82 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | BCBS | MCRHMO | $10.81 | $204.00 | $204.00 | 2026-03-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $10.99 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $10.99 | — | — | 2026-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $11.09 | — | — | 2025-10-24 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $11.28 | — | — | 2025-08-01 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $11.46 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $11.88 | — | — | 2025-08-01 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $12.23 | $76.41 | $30.57 | 2026-02-04 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Selfpay | Selfpay | $13.46 | $53.82 | $53.82 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Commercial-Historical Paf | Commercial-Historical Paf | $13.46 | $53.82 | $53.82 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Commercial-Historical Paf | Commercial-Historical Paf | $13.99 | $53.82 | $53.82 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Aetna | MCR | $14.08 | $204.00 | $204.00 | 2026-03-01 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | CMS Medicare | Medicare PPO | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Anthem Blue Cross | Medicare Advantage | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | United Healthcare | All Plans | $14.20 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Anthem Blue Cross | Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PPO | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Kaiser | Medicare PPO | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Lucent Health Solutions | Grand County Government Employee Benefit Plan | $14.43 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Anthem Blue Cross | Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PPO | $14.43 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | EBMS Peak Health Alliance | Summit County Government Employee Benefit Plan | $14.43 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Denver Medical Health Plan | Elevate Only | $14.43 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Amerigroup | Medicaid | $14.74 | $45.84 | $27.50 | 2026-07-15 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Peachstate Medicaid | Medicaid | $14.74 | $45.84 | $27.50 | 2026-07-15 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Medicaid | Medicaid | $14.74 | $45.84 | $27.50 | 2026-07-15 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Wellcare Medicaid | Medicaid | $15.18 | $45.84 | $27.50 | 2026-07-15 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Cigna | All Plans | $15.28 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Humana | All Plans | $15.28 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Kaiser | Colorado Commercial PPO | $16.13 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Aetna | HMO/PPO/POS | $16.13 | $16.98 | $13.59 | 2026-04-27 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $16.14 | $343.48 | $343.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | MGMCRHMO | $16.49 | $343.48 | $343.48 | 2026-03-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Wellmed | Medicare Advantage | $16.80 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians | MGMCR | $17.52 | $343.48 | $343.48 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $17.54 | $204.00 | $204.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $17.54 | $204.00 | $204.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $17.58 | $189.00 | $189.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $17.58 | $189.00 | $189.00 | 2024-10-01 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Self Pay Amish | Self Pay Amish | $17.76 | $53.82 | $53.82 | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Cigna | Commercial | $17.77 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | El Paso Health | Medicaid | $18.48 | $33.60 | $6.72 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Upmc | Upmc Commercial | $18.66 | $53.82 | $53.82 | 2026-07-15 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Tru Pace | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Naphcare | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Optum Care Network | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Cigna Healthcare | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Archdiocese of Denver | Direct to Employer | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Aetna | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Cigna Healthcare | Commercial Local Plus | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Humana | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Northeast Health Partners | Managed Behavioral Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Aetna | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Humana | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Cigna Healthcare | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Kaiser | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | United Colorado Doctor's Plan | Commercial PPO/POS/HMO/EPO | $19.10 | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Innovage | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Colorado Access | Managed Behavioral Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Pace | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Health Colorado Behavioral Health | Managed Behavioral Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Public Schools | Direct to Employer | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Devoted Health | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Humana | Commercial HMOx | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Humana | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Kaiser | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Centivo | Direct to Employer | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Community Health Alliance | Managed Behavioral Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Cigna Healthcare | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Centivo | Direct to Employer | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Humana | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Cigna Healthcare | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | United Healthcare | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Aetna | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Health | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Colorado Access | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Cigna Healthcare | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Behavioral Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Aetna | Commercial PPO/POS/HMO | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Aetna | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Humana | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Aetna | Commercial Whole Health | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Health | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Town of Breckenridge | Direct to Employer | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Humana | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Innovage | Managed Medicare | — | $76.41 | $30.56 | 2024-12-02 | 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.