A9510 — Tc99m Disofenin
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tc99m disofenin (HCPCS A9510) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9510?code_type=HCPCS
MLA (9th ed.)
“Tc99m disofenin (HCPCS A9510) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9510?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tc99m disofenin (HCPCS A9510) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9510?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $98–$333 (25th–75th percentile) across 1,481 hospitals · 3,035 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9510 — 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
$98
$182 typical
$333
The middle 50% of negotiated facility rates for this procedure, measured across 1,481 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $182 |
| Likely subtotal | $182 |
Facility charge (no separate professional fee)
$182
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 $98–$333.
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $220.89 | $121.49 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $220.89 | $121.49 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $368.15 | $202.48 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $220.89 | $187.76 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $589.04 | $412.33 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $368.15 | $202.48 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $589.04 | $412.33 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $220.89 | $187.76 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $220.89 | $187.76 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $220.89 | $121.49 | 2025-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN-L | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO-L | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | Blue HPN | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Anthem | Anthem | $0.03 | $243.00 | $145.80 | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO-L | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO-L | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO-L | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN-L | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO-L | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | Blue HPN-L | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN-L | $0.03 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN-L | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO | $0.03 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO-L | $0.05 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PPO | $0.05 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO | $0.05 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PPO-L | $0.05 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PPO | $0.05 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO | $0.05 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO-L | $0.05 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PPO | $0.05 | $885.00 | $663.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PPO-L | $0.05 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PPO-L | $0.05 | $885.00 | $663.75 | 2026-02-14 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $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 Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.20 | $109.00 | — | 2024-12-31 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $122.00 | — | 2026-07-01 | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $436.00 | $327.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $436.00 | $327.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem/Aenta | Medicaid | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem/Aenta | Medicaid | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| MCDOWELL ARH HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $6.00 | $3.60 | 2025-01-22 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.31 | $246.00 | $246.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.31 | $246.00 | $246.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $1.31 | $246.00 | $246.00 | 2026-07-15 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Exchange | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Medicaid Advantage | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Medicare Advantage | $1.36 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $1.38 | — | — | 2025-07-22 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1.47 | $61.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $1.62 | $61.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $1.73 | $61.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1.93 | $61.00 | — | 2026-08-17 | 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 | CIGNA | ALL PRODUCTS | $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 | AMERIGROUP | MEDICAID ADV_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 | UNITED HEALTHCARE | MEDICAID_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 | $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 | AETNA | MEDICAID | $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 | 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 | QUALCARE | PPO | $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 | QUALCARE | HMO | $4.80 | $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 | INTERGROUP | ALL PRODUCTS | $5.10 | $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 ↗ |
| ST ELIZABETH HOSPITAL Outpatient | CHPW | Medicaid|All Plans | $7.32 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | CHPW | Medicaid|All Plans | $7.32 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $175.15 | $68.31 | 2026-07-31 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Coordinated Care | Medicaid|All Plans | $7.47 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Coordinated Care | Medicaid|All Plans | $7.47 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | SoundPath | Medicare|All Plans | $7.75 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Kaiser | Medicare|All Plans | $7.75 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | SoundPath | Medicare|All Plans | $7.75 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $7.75 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $7.75 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Kaiser | Medicare|All Plans | $7.75 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Medicaid|All Plans | $7.76 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Medicaid|All Plans | $7.76 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Molina | Medicaid|All Plans | $7.80 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Molina | Medicaid|All Plans | $7.80 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Optum | Medicare|All Plans | $7.83 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Optum | Medicare|All Plans | $7.83 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $7.93 | $61.00 | — | 2026-09-02 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | BCBS - Premera | Medicare|All Plans | $7.99 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | BCBS - Regence | Medicare|All Plans | $7.99 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | BCBS - Regence | Medicare|All Plans | $7.99 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | BCBS - Premera | Medicare|All Plans | $7.99 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | CHPW | Medicare|All Plans | $8.14 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | CHPW | Medicare|All Plans | $8.14 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Humana | Medicare|All Plans | $8.30 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Humana | Medicare|All Plans | $8.30 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Medicare|All Plans | $8.37 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Medicare|All Plans | $8.37 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Molina | Medicare|All Plans | $8.37 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Molina | Medicare|All Plans | $8.37 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Seattle Medical Group | Medicare|All Plans | $8.92 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | WellPoint | Medicaid|All Plans | $8.92 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Seattle Medical Group | Medicare|All Plans | $8.92 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | WellPoint | Medicaid|All Plans | $8.92 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $9.03 | $300.84 | $300.84 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $9.03 | $300.84 | $300.84 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $9.15 | $61.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $9.15 | $61.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $9.15 | $61.00 | — | 2026-08-17 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Aetna | Medicare|All Plans | $9.48 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | Aetna | Medicare|All Plans | $9.48 | $43.05 | $15.22 | 2026-02-28 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $10.10 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $10.10 | — | — | 2026-09-21 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $10.51 | $175.15 | $68.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $10.51 | $175.15 | $68.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Both | Aetna | Qhp | $11.37 | $59.85 | $11.97 | 2026-07-15 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Capital Blue Cross | Commercial | $11.97 | $571.00 | $473.93 | 2026-02-26 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Capital Blue Cross | F8103_Capital Blue Cross | $11.97 | — | — | 2026-04-01 | 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.