A9521 — Tc99m Exametazime
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tc99m exametazime (HCPCS A9521) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9521?code_type=HCPCS
MLA (9th ed.)
“Tc99m exametazime (HCPCS A9521) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9521?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tc99m exametazime (HCPCS A9521) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9521?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $928–$3,496 (25th–75th percentile) across 2,148 hospitals · 5,445 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9521 — 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
$928
$1,814 typical
$3,496
The middle 50% of negotiated facility rates for this procedure, measured across 2,148 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,814 |
| Likely subtotal | $1,814 |
Facility charge (no separate professional fee)
$1,814
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 $928–$3,496.
- 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 AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $11,811.28 | $8,267.90 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $4,429.23 | $2,436.08 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,429.23 | $3,764.85 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $4,429.23 | $2,436.08 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,382.05 | $4,060.13 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,429.23 | $3,764.85 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $4,429.23 | $2,436.08 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,382.05 | $4,060.13 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,429.23 | $3,764.85 | 2025-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $5,009.00 | $3,756.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $5,009.00 | $3,756.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $5,009.00 | $3,756.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | 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 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $5,009.00 | $3,756.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $5,009.00 | $3,756.75 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Star KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Aetna | Star KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | El Paso First | KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Chip KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Aetna | Chip KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Star Kids KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Star Plus KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Foster Care KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | First Care | KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Chip KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Driscoll Children's Health Plan | Star Kids KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Star Chip KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Driscoll Children's Health Plan | Star KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Star Kids KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Driscoll Children's Health Plan | Chip KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Star KM | $1.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Amerigroup | Star Plus KM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Amerigroup | Star Kids KM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Amerigroup | Chip KM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Amerigroup | Star KM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Med Adv MM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Texas Childrens Health Plan | Chip KM | $1.20 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | Star Plus KM | $1.80 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | Chip KM | $1.80 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | Star KM | $1.80 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $5,075.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Molina | Star Plus KM | $3.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Molina | Chip KM | $3.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $3.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $3.69 | $1,689.00 | $844.50 | 2026-04-02 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Cigna | New Business | $3.70 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Healthcare Highways | PPO | $4.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $4.61 | $2,111.00 | $1,055.50 | 2026-04-02 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First Health Plan | HMO | $5.10 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Cigna | PPO | $5.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Christian Brothers Services | PPO | $5.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Multiplan | PPO | $6.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Phcs | PPO | $6.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | First Health | PPO | $6.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Healthsmart | Accel PPO | $6.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Molina Healthcare | Benefit Exchange | $6.63 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Five Point Credit Union | PPO | $7.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Healthsmart | Accel PPO | $7.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $4,547.63 | $1,773.58 | 2026-07-31 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $7.47 | $124.49 | $49.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $7.47 | $124.49 | $49.00 | 2026-07-15 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Medicus Internatiaonal | PPO | $7.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | KY Medicaid | $7.60 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $7.60 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Kentucky WC | Medicaid | $7.68 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid | $7.75 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Health Management Network | PPO | $8.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Beech Street | PPO | $8.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | HealthSmart | PPO | $8.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Provider Select | PPO | $8.00 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $9.22 | $2,493.00 | $2,368.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $9.22 | $2,493.00 | $2,368.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $9.22 | $2,493.00 | $2,368.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.47 | $2,493.00 | $2,368.35 | 2026-02-20 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | National Choicecare | PPO | $9.50 | $10.00 | $3.30 | 2026-01-13 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.72 | $2,493.00 | $2,368.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $9.97 | $2,493.00 | $2,368.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.36 | $2,114.00 | $2,008.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.36 | $2,114.00 | $2,008.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.57 | $2,114.00 | $2,008.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $10.99 | $2,114.00 | $2,008.30 | 2026-02-20 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $11.18 | $2,102.00 | $2,102.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $11.18 | $2,102.00 | $2,102.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $11.18 | $2,102.00 | $2,102.00 | 2026-07-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $11.42 | $2,114.00 | $2,008.30 | 2026-02-20 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $12.80 | $2,700.50 | $2,430.45 | 2026-01-25 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Outpatient | $15.05 | $292.00 | — | 2026-07-15 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | Aetna | All Products | $15.17 | $41.00 | $802.34 | 2025-12-02 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO SOMC Employees | $15.25 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | POS/PPO/Traditional | $16.31 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | HMO | $16.57 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Cigna | All Products | $16.81 | $41.00 | $41.00 | 2025-12-02 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $17.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $17.01 | $9,448.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Aetna | Commercial | $17.02 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $17.17 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $17.17 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Anthem | POS/PPO/Traditional | $17.24 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $17.34 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| SAMPSON REGIONAL MEDICAL CENTER Outpatient | WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $17.49 | $88.00 | $61.60 | 2026-05-07 | MRF ↗ |
| SAMPSON REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $17.49 | $88.00 | $61.60 | 2026-05-07 | MRF ↗ |
| SAMPSON REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $17.66 | $88.00 | $61.60 | 2026-05-07 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO Differential | $17.68 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| BARSTOW COMMUNITY HOSPITAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $17.74 | $175.66 | $105.40 | 2026-02-17 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | HMO | $18.12 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Cigna | Commercial | $18.34 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Humana | Commercial | $18.79 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO No Differential | $19.23 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Choice | Commercial | $19.45 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | United Healthcare | All Payer | $19.45 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $19.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $19.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $7,382.05 | $4,798.33 | 2025-01-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Prime Health Plan | Correction Services | $20.50 | $41.00 | $20.50 | 2025-12-02 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $7,382.05 | $4,798.33 | 2025-01-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | First Health | Commercial | $21.00 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | PHCS | Commercial | $21.22 | $22.10 | $11.05 | 2026-01-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $24.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $24.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $25.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $25.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $27.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $27.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | Work Comp | $28.70 | $41.00 | $802.34 | 2025-12-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $4,469.00 | $3,351.75 | 2024-12-08 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | First Health medical Rental | $28.70 | $41.00 | $802.34 | 2025-12-02 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $29.22 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $29.22 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $29.22 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $29.22 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $29.22 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $4,469.00 | $3,351.75 | 2024-12-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Commercial|PPO POS HMO | $32.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Commercial|PPO POS HMO | $32.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | ADV65 | $32.80 | $41.00 | $802.34 | 2025-12-02 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $5,149.00 | $3,861.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $5,149.00 | $3,861.75 | 2024-12-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Commercial|Trad | $34.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Commercial|Trad | $34.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $34.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $34.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $35,359.00 | $26,519.25 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $35,359.00 | $26,519.25 | 2024-12-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $35.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $35.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $36.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $36.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $37.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $37.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $38.30 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $38.30 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $39.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $39.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uha | All Commercial Plans | $39.84 | $124.49 | $49.00 | 2026-07-15 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $13,868.00 | — | 2026-01-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $40.03 | $394.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $40.03 | $394.00 | — | 2025-01-31 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | FirstCare | Managed Medicaid | $41.60 | $80.00 | $40.00 | 2025-12-03 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $41.72 | $394.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $41.72 | $394.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $41.72 | $394.00 | — | 2025-01-31 | MRF ↗ |
| SWEETWATER HOSPITAL ASSOCIATION Both | — | — | — | $464.10 | $157.79 | 2026-04-22 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Oscar | HIX | $42.17 | $230.43 | $230.43 | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $42.42 | $230.43 | $230.43 | 2026-03-12 | 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.