A9520 — Kit For The Prep Of Tc-99m-tilmanocept 250 Mcg Solution For Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION (HCPCS A9520) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9520?code_type=HCPCS
MLA (9th ed.)
“KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION (HCPCS A9520) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9520?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION (HCPCS A9520) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9520?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $656–$1,804 (25th–75th percentile) across 1,929 hospitals · 4,491 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9520 — 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
$656
$1,015 typical
$1,804
The middle 50% of negotiated facility rates for this procedure, measured across 1,929 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,015 |
| Likely subtotal | $1,015 |
Facility charge (no separate professional fee)
$1,015
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 $656–$1,804.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,644.00 | $1,397.40 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,740.00 | $1,507.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,740.00 | $1,507.00 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage Ppo | — | $0.02 | $0.01 | 2026-07-18 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,644.00 | $904.20 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | United Healthcare | Commercial/Epo/Ppo | — | $0.02 | $0.01 | 2026-07-18 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,644.00 | $1,397.40 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $4,384.00 | $3,068.80 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,644.00 | $1,397.40 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $4,384.00 | $3,068.80 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,644.00 | $904.20 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage Hmo | — | $0.02 | $0.01 | 2026-07-18 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,644.00 | $904.20 | 2025-01-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,850.00 | — | 2026-07-01 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Bcbs Ppo Hmo Blue Card | — | $1.00 | $2,195.73 | $1,646.80 | 2026-07-16 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Aetna | Qhp | $1.00 | $1,673.00 | $669.20 | 2026-07-15 | 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 BLUE CARE NETWORK | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,226.00 | $1,825.32 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,226.00 | $1,825.32 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Regence | — | $1.00 | $2,195.73 | $1,646.80 | 2026-07-16 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,226.00 | $1,825.32 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $2,226.00 | $1,825.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,226.00 | $1,825.32 | 2025-11-26 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Bcbs Mn | — | $1.00 | $2,195.73 | $1,646.80 | 2026-07-16 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Aetna | Managed Care | $1.00 | $1,673.00 | $669.20 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,226.00 | $1,825.32 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,884.00 | $2,163.00 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | PacificSource | Navigator Plans | $1.31 | $3.73 | $1.50 | 2025-07-25 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS EXCH/BCE | BCBS EXCH/BCE | $1.34 | $1,451.00 | $725.50 | 2026-05-07 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS EXCH/BCE | BCBS EXCH/BCE | $1.34 | $1,451.00 | $725.50 | 2026-05-07 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | PacificSource | Navigator Plans | $1.34 | $3.83 | $1.54 | 2025-07-25 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $1.62 | $740.00 | $370.00 | 2026-04-02 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.79 | $992.00 | — | 2024-12-31 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | PacificSource | Voyager Plans | $1.88 | $3.73 | $1.50 | 2025-07-25 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | PacificSource | Voyager Plans | $1.93 | $3.83 | $1.54 | 2025-07-25 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | Resurrection Physicians Provider Group IPA | Resurrection Physician Provider Group IPA Commercial | $2.27 | $4,496.00 | — | 2026-03-17 | MRF ↗ |
| ST. MARY'S HOSPITAL Outpatient | Resurrection Physicians Provider Group IPA | Resurrection Physician Provider Group IPA Commercial | $2.27 | $1,390.00 | — | 2026-03-17 | MRF ↗ |
| PRESENCE MERCY MEDICAL CENTER Outpatient | Resurrection Physicians Provider Group IPA | Resurrection Physician Provider Group IPA Commercial | $2.27 | $1,283.00 | — | 2026-03-17 | MRF ↗ |
| SAINT JOSEPH MEDICAL CENTER Outpatient | Resurrection Physicians Provider Group | Resurrection Physician Provider Group IPA Commercial | $2.27 | $978.00 | — | 2026-03-17 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $4,398.80 | $2,199.40 | 2026-07-01 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS BCO/BCS | BCBS BCO/BCS | $2.60 | $1,451.00 | $725.50 | 2026-05-07 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS BCO/BCS | BCBS BCO/BCS | $2.60 | $1,451.00 | $725.50 | 2026-05-07 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | Multiplan/PHCS | All Commercial Plans | $2.72 | $3.73 | $1.50 | 2025-07-25 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $2.79 | $1,451.00 | $725.50 | 2026-05-07 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $2.79 | $1,451.00 | $725.50 | 2026-05-07 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | Multiplan/PHCS | All Commercial Plans | $2.80 | $3.83 | $1.54 | 2025-07-25 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.95 | $1,640.10 | — | 2024-12-31 | MRF ↗ |
| CAPITAL MEDICAL CENTER InpatientFacility | Multiplan/PHCS | All Commercial Plans | $2.98 | $3.73 | $1.50 | 2025-07-25 | MRF ↗ |
| CAPITAL MEDICAL CENTER InpatientFacility | Multiplan/PHCS | All Commercial Plans | $3.06 | $3.83 | $1.54 | 2025-07-25 | MRF ↗ |
| CAPITAL MEDICAL CENTER InpatientFacility | First Health | All Commercial Plans | $3.17 | $3.73 | $1.50 | 2025-07-25 | MRF ↗ |
| CAPITAL MEDICAL CENTER InpatientFacility | First Health | All Commercial Plans | $3.26 | $3.83 | $1.54 | 2025-07-25 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCS | 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 | $3.75 | $775.00 | $255.75 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCE | 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 | $3.75 | $775.00 | $255.75 | 2026-01-01 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $4.42 | $820.00 | $410.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield Choice | Commercial | $4.77 | $820.00 | $410.00 | 2025-11-04 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Medicare Partner Health Plan | Medicare | $4.77 | $78.83 | $47.30 | 2026-08-01 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $5.03 | $820.00 | $410.00 | 2025-11-04 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | BCBS [900043] | BCBS MN [90043] | $5.09 | $3,664.45 | $1,355.85 | 2026-03-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | BCBS MEDICAID REPLACEMENT [950295] | BCBS PMAP [95296] | $5.09 | $3,664.45 | $1,355.85 | 2026-03-31 | MRF ↗ |
| HUTCHINSON HEALTH BothFacility | BCBS [900043] | BCBS MN [90043] | $5.09 | $3,285.80 | $1,511.47 | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.42 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.42 | $629.70 | $629.70 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.42 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.46 | $1,477.00 | $1,403.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.46 | $1,477.00 | $1,403.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.46 | $1,477.00 | $1,403.15 | 2026-02-20 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL Both | Medicare A MN J6 | Default | $5.51 | $10.61 | $9.02 | 2026-06-19 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of MN | Medicare Advantage | $5.51 | $10.61 | $9.02 | 2026-06-19 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS PPO | 2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001 | $5.54 | $775.00 | $255.75 | 2026-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.61 | $1,477.00 | $1,403.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.76 | $1,477.00 | $1,403.15 | 2026-02-20 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $5.78 | $900.00 | $450.00 | 2025-11-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.91 | $1,477.00 | $1,403.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.14 | $1,253.00 | $1,190.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.14 | $1,253.00 | $1,190.35 | 2026-02-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $6.22 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $6.22 | $629.70 | $629.70 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $6.22 | — | — | 2026-03-18 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Choice | Commercial | $6.25 | $900.00 | $450.00 | 2025-11-04 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.26 | $1,253.00 | $1,190.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.52 | $1,253.00 | $1,190.35 | 2026-02-20 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | PPO | $6.58 | $900.00 | $450.00 | 2025-11-04 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.77 | $1,253.00 | $1,190.35 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.77 | $629.70 | $629.70 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.77 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.77 | — | — | 2026-03-18 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | Humana | PPO/PFFS_Medicare | $9.00 | $733,701.00 | $293,480.40 | 2024-12-15 | MRF ↗ |
| Advocate Christ Medical Center OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.16 | $1,210.00 | $605.00 | 2025-11-04 | MRF ↗ |
| Advocate Christ Medical Center OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.16 | $1,210.00 | $605.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.29 | $1,260.00 | $630.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.29 | $1,260.00 | $630.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.33 | $1,210.00 | $605.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.38 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.38 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE GOOD SAMARITAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.38 | $640.00 | $320.00 | 2025-11-04 | MRF ↗ |
| Advocate South Suburban Hospital OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.41 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE GOOD SHEPHERD HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.44 | $950.00 | $475.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.44 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.46 | $1,260.00 | $630.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $9.46 | $1,260.00 | $630.00 | 2025-11-04 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $850.05 | $552.53 | 2025-11-26 | MRF ↗ |
| Advocate Christ Medical Center OutpatientFacility | Blue Cross Blue Shield Choice | Commercial | $9.90 | $1,210.00 | $605.00 | 2025-11-04 | MRF ↗ |
| Advocate Christ Medical Center OutpatientFacility | Blue Cross Blue Shield Choice | Commercial | $9.90 | $1,210.00 | $605.00 | 2025-11-04 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of MN | Default | $9.96 | $10.61 | $9.02 | 2026-06-19 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | United_HealthCare | Dual_Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | HealthFirst_Plans | Medicare | $10.00 | $429,949.20 | $171,979.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | United_HealthCare | Dual_Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Humana | HMO_PPO_PFFS_Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | $10.00 | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Humana | PPO_Medicare_ | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | United_HealthCare | Dual_Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Optimum | Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | $10.00 | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | WellCare_of_Florida | HMO_PPO_Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Humana | Careplus | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Humana | Medicare_HMO_PPO_PFFS_Behavioral_Health | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | $10.00 | $429,949.20 | $171,979.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Aetna_Health | Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicare_HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Optimum | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna_Health | Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | $10.00 | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | $10.00 | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | UPMC_Health_Plan | Medicare | $10.00 | $429,949.20 | $171,979.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Longevity | HMO_Medicare_ | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Optimum | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | $10.00 | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Humana | PFFS_Medicare_ | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Aetna_Health | Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Freedom_Health | Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UPMC | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | $10.00 | $763,049.00 | $381,524.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Longevity | HMO_Medicare_ | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | HealthFirst_Plans | Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Humana | HMO_PPO_Medicare_ | $10.00 | $429,949.20 | $171,979.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | BayCare_Select | HMO_Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | HealthFirst_Plans | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Humana | Careplus_HMO | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | HealthFirst_Plans | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | WellCare | Medicare_HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Humana_CarePlus | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Humana_Health | Medicare_HMO_PPO | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Humana_CarePlus | Medicare | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Humana | HMO_Medicare_ | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Freedom_Health | Medicare | $10.00 | $770,386.00 | $308,154.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_PPO | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO | $10.00 | $242,855.70 | $97,142.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | $10.00 | $777,723.00 | $388,861.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | United | Medicare | $10.00 | $770,386.00 | $385,193.00 | 2024-12-15 | 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.