Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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A9509 — Sodium Iodide-123 >/= 1 Millicurie Oral Solution

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $463

Usually $173–$956 (25th–75th percentile) across 1,206 hospitals · 2,515 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9509 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$173 $463 typical $956

The middle 50% of negotiated facility rates for this procedure, measured across 1,206 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $463
Likely subtotal $463
Facility charge (no separate professional fee) $463
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
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MO MEDICAID BH CARVE OUT [320315] HB SPRG MO MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB JEFN MO MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID PENDING [20241] HB STLO MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BCBS MEDICAID [20046] HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility HOME STATE MEDICAID CONTRACTED [320189] HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB JEFN MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $667.00 $433.55 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BCBS MEDICAID [20046] HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility HOME STATE MEDICAID CONTRACTED [320189] HB SPRG HOME STATE HEALTH PLAN $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAID [20240] HB SPRG OK MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB WASH MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO MO MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG MO MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MO MEDICAID BH CARVE OUT [320315] HB SPRG MO MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE $1,335.00 $867.75 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG OK MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICAID PENDING [20241] HB WASH MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility HOME STATE MEDICAID [520247] HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICAID PENDING [20241] HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MO MEDICAID BH CARVE OUT [320315] HB JEFN MO MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB JEFN UHC MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB SPRG UHC MO MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB SPRG UHC MO MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB STLO UHC MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID PENDING [20241] HB STLO HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HOME STATE MEDICAID [520247] HB STLO HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB SPRG OK MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MO MEDICAID BH CARVE OUT [320315] HB STLO MO MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICAID [20240] HB WASH MO MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility HOME STATE MEDICAID CONTRACTED [320189] HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAID [20240] HB SPRG MO MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HOME STATE MEDICAID CONTRACTED [320189] HB STLO HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB STLO MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $667.00 $433.55 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB SPRG OK MEDICAID $1,335.00 $867.75 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility HOME STATE MEDICAID CONTRACTED [320189] HB SPRG HOME STATE HEALTH PLAN $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID PENDING [20241] HB JEFN MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $667.00 $433.55 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID PENDING [20241] HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID $667.00 $433.55 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility HOME STATE MEDICAID [20189] HB SPRG HOME STATE HEALTH PLAN $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility HOME STATE MEDICAID [20189] HB SPRG HOME STATE HEALTH PLAN $1,335.00 $867.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB CAPE ANTHEM BLUE ACCESS $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MC GENERIC ANTHEM [20456] HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MC ANTHEM [20455] HB CAPE ANTHEM BLUE ACCESS $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB CAPE MO MEDICAID $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MC ANTHEM [20455] HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID PENDING [20241] HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB CAPE UHC MANAGED MEDICAID $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility HOME STATE MEDICAID CONTRACTED [320189] HB CAPE HOME STATE MANAGED MEDICAID $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID PENDING [20241] HB CAPE HOME STATE MANAGED MEDICAID $2,679.00 $1,741.35 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility BCBS MEDICAID CONTRACTED [320046] HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $2,679.00 $1,741.35 2026-03-18 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS Blue HPN-L $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS Blue HPN-L $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Claritev dba MultiPlan All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS_HMO-L $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NEW YORK-PRESBYTERIAN/QUEENS Both EmblemHealth All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN/QUEENS Both MagnaCare All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS Blue HPN-L $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS_HMO $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS Blue HPN $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS_HMO $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Claritev dba MultiPlan All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS Blue HPN $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NEW YORK-PRESBYTERIAN/QUEENS Both Claritev dba MultiPlan All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS Blue HPN-L $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS_HMO-L $0.03 $897.00 $672.75 2026-02-15 MRF ↗
NEW YORK-PRESBYTERIAN/QUEENS Both Aetna Commercial $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS Blue HPN $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NEW YORK-PRESBYTERIAN/QUEENS Both First Health Coventry All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both QHM All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS Blue HPN $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both First Health Coventry All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Worldwide All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
HUDSON VALLEY HOSPITAL CENTER Both MagnaCare All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both QHM All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS Blue HPN $0.03 $897.00 $672.75 2026-02-14 MRF ↗
HUDSON VALLEY HOSPITAL CENTER Both First Health All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both First Health Coventry All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both EmblemHealth All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS_HMO $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS_HMO $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS Blue HPN-L $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both EmblemHealth All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS_HMO $0.03 $897.00 $672.75 2026-02-14 MRF ↗
HUDSON VALLEY HOSPITAL CENTER Both Consumer Health Network All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
HUDSON VALLEY HOSPITAL CENTER Both Claritev dba MultiPlan All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS_HMO-L $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS_HMO-L $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both MagnaCare All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both MagnaCare All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS_HMO-L $0.03 $897.00 $672.75 2026-02-14 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Worldwide All Commercial Plans $0.03 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Beech Street All Commercial Plans $0.04 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both First Health All Commercial Plans $0.04 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Consumer Health Network All Commercial Plans $0.04 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN/QUEENS Both Beechstreet All Commercial Plans $0.04 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both First Health 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 ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Beech Street All Commercial Plans $0.04 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Devon All Commercial Plans $0.04 $0.04 2026-03-31 MRF ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Devon All Commercial Plans $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 ↗
NEW YORK-PRESBYTERIAN HOSPITAL Both Consumer Health Network 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 ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS_PPO-L $0.05 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS_PPO-L $0.05 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS_PPO $0.05 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS_PPO-L $0.05 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS_PPO $0.05 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS_PPO-L $0.05 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS_PPO-L $0.05 $897.00 $672.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS_PPO $0.05 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS_PPO $0.05 $897.00 $672.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS_PPO $0.05 $897.00 $672.75 2026-02-15 MRF ↗
VAN WERT COUNTY HOSPITAL OutpatientFacility Bcbs Anthem Blue Connection Other Commercial Plan $0.07 2026-04-01 MRF ↗
OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility Bcbs Anthem Blue Access Hmo/Ppo $0.07 2026-04-01 MRF ↗
OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility Bcbs Anthem Traditional $0.07 2026-04-01 MRF ↗
OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility Bcbs Anthem Blue Connection Hmo $0.07 2026-04-01 MRF ↗
VAN WERT COUNTY HOSPITAL OutpatientFacility Bcbs Anthem All Commercial Plans $0.07 2026-04-01 MRF ↗
OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility Bcbs Anthem Blue Connection Other Commercial Plan $0.07 2026-04-01 MRF ↗
OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility Bcbs Anthem All Commercial Plans $0.07 2026-04-01 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Other Government Other Government $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Blue Cross Blue Shield Of Nm Ppo Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Molina Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Self Pay Self Pay $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Healthsmart Preferred Care Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Provider Network America Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Aetna Colorado Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Albuquerque Public Schools Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Alamo Navajo School Board Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Blue Cross Blue Shield Of Nm Blue Adv Hmo Blue Pre $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Blue Cross Blue Shield Of Nm Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient United Healthcare Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Humana Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Aetna Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Devoted Health Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Turquoise Care Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Aetna Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Multiplan Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Blue Cross Blue Shield Of Nm Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Cigna Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient United Healthcare Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient United Healthcare Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Molina Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient El Pueblo Health Services Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Falling Colors Behavioral Health Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Indian Health Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Indian Health Abq Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Presbyterian Network Managed Medicaid $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Kewa Pueblo Health Corporation Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Maksin Management Corporation Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Presbyterian Network Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Provider Network America Indian Nation Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Pueblo Of Isleta Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Christus Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Christus Health Exchange Plan Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Zelis Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Pueblo Of Jemez Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Imperial Health Exchange Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Pueblo Of Sandia Medicare Advantage $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Three River Provider Network Ppo Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Health Management Network Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Blue Cross Blue Shield Of Nm Advantage Hmo Commerc $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Humana Commercial $424.36 $233.40 2026-05-09 MRF ↗
Unm Sandoval Regional Medical Center Outpatient Blue Cross Blue Shield Of Nm Blue Community Hmo $0.20 $424.36 $233.40 2026-05-09 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Superior Health Plan STARPLUS $0.21 $3.02 $3.02 2026-03-01 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Superior Health Plan STAR $0.21 $3.02 $3.02 2026-03-01 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Superior Health Plan STARKids $0.21 $3.02 $3.02 2026-03-01 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Superior Health Plan CHIP $0.21 $3.02 $3.02 2026-03-01 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Superior Health Plan CHPFC $0.21 $3.02 $3.02 2026-03-01 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Aetna Managed Medicare $0.29 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Anthem Blue Priority WI/Blue Priority X-WI $0.50 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Quartz Beloit One Network $0.51 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Anthem Blue Preferred/Blue Preferred Plus $0.52 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility The Alliance Commercial $0.52 $1.00 $0.30 2026-04-02 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Superior HIX $0.53 $3.02 $3.02 2026-03-01 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Blue Cross Blue Shield of Illinois Blue Cross PPO $0.55 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility WEA Trust Commercial $0.57 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Dean Health DHI/DHP/ASO $0.58 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Quartz Medicare Advantage $0.62 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility NAPHCARE Commercial $0.62 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Quartz Commercial $0.62 $1.00 $0.30 2026-04-02 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient United OptionsPPO $0.63 $3.02 $3.02 2026-03-01 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Quartz Commercial $0.68 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Anthem Blue Access PPO/Blue Traditional $0.68 $1.00 $0.30 2026-04-02 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Texas Workforce Commission WORKERSCOMP $0.72 $3.02 $3.02 2026-03-01 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Healthcare Highways NarrowNetwork $0.77 $3.02 $3.02 2026-03-01 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility WPS Commercial $0.77 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM OutpatientFacility Humana Commercial/EPO/HMO/POS/PPO $0.78 $1.00 $0.30 2026-04-02 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Molina Healthcare HIX $0.82 $3.02 $3.02 2026-03-01 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Oscar HIX $0.82 $3.02 $3.02 2026-03-01 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Multiplan Commercial $0.83 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Aetna Gatekeeper/Not Gatekeeper $0.89 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Health EOS Commercial $0.93 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Aetna Commercial $0.94 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Preferred Network Access Commercial $0.96 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility HFN Commercial $0.96 $1.00 $0.30 2026-04-02 MRF ↗
BELOIT HEALTH SYSTEM InpatientFacility Cigna Commercial $0.96 $1.00 $0.30 2026-04-02 MRF ↗
VALLEY REGIONAL MEDICAL CENTER Outpatient Averde Health COMM $1.00 $3.02 $3.02 2026-03-01 MRF ↗
ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility BLUE PLUS PMAP PCC PRIME Medicaid $1.00 2026-01-01 MRF ↗
ESSENTIA HEALTH OutpatientFacility MN BCBS Commercial BCBS MN $1.00 2026-01-01 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.