A9538 — Tc99m Pyrophosphate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tc99m pyrophosphate (HCPCS A9538) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9538?code_type=HCPCS
MLA (9th ed.)
“Tc99m pyrophosphate (HCPCS A9538) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9538?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tc99m pyrophosphate (HCPCS A9538) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9538?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $81–$314 (25th–75th percentile) across 1,758 hospitals · 4,604 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9538 — 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
$81
$159 typical
$314
The middle 50% of negotiated facility rates for this procedure, measured across 1,758 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $159 |
| Likely subtotal | $159 |
Facility charge (no separate professional fee)
$159
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 $81–$314.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,488.82 | $744.41 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $201.48 | $171.26 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $201.48 | $110.81 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $201.48 | $110.81 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $201.48 | $171.26 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $92.25 | $32.01 | 2025-09-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $335.80 | $184.69 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $201.48 | $171.26 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $92.25 | $32.01 | 2025-09-09 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $537.28 | $376.10 | 2025-01-01 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | — | $0.01 | $0.01 | 2026-03-24 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $92.25 | $32.01 | 2025-09-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $335.80 | $184.69 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $201.48 | $110.81 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,488.82 | $744.41 | 2024-12-15 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $537.28 | $376.10 | 2025-01-01 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | — | $0.01 | $0.01 | 2026-03-24 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_0000 | FIDELIS ESSENTIAL PLAN 1-2 IP AND OP NO RATE CODE | $0.04 | $64.31 | $48.78 | 2025-01-19 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.55 | $148.00 | $140.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.55 | $148.00 | $140.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.59 | $148.00 | $140.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.60 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.60 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.61 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.61 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.61 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.61 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.63 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.65 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $0.68 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $0.68 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $0.68 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $0.68 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $0.68 | — | — | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.68 | $125.00 | $118.75 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.84 | $216.00 | $79.92 | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $294.00 | $241.08 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $6,223.50 | $4,045.28 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $6,223.50 | $4,045.28 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $6,223.50 | $4,045.28 | 2025-11-26 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $1.42 | $648.00 | $324.00 | 2026-04-02 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $6,223.50 | $4,045.28 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $161.00 | — | 2025-06-28 | 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 ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $161.00 | — | 2025-06-28 | 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 | WELLCARE | MEDICAID_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | 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 | AETNA | MEDICAID | $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 | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID | $2.46 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | 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 ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $3.43 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $3.76 | $47.00 | $47.00 | 2026-05-04 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED CARE | $4.20 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Kindred Hospital LA | Kindred Hospital - LA Medi-cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Optum Health Plan Of California | Optum Health Plan Of CA Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Of CA Triwest Healthcare CCN | Blue Shield Of CA TriWest Healthcare Community Care Network Medicare | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Avanti Hospitals, LLC | Avanti Hospitals, LLC Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | L.A Care Health Plan | L.A Care Health Plan Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Of CA Triwest Healthcare CCN | Blue Shield Of CA TriWest Healthcare Community Care Network Medicare | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medi-Cal - IPA | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Kindred Hospital LA | Kindred Hospital - LA Medi-cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Medi-Cal - IPA | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Avanti Hospitals, LLC | Avanti Hospitals, LLC Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Medi-Cal - IPA | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | L.A Care Health Plan | L.A Care Health Plan Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Optum Health Plan Of California | Optum Health Plan Of CA Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medi-Cal - IPA | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medi-Cal | $4.33 | $4.33 | — | 2026-03-17 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Aetna | Medicare Advantage | $4.43 | $14.75 | $14.75 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | United Healthcare | Medicare Advantage | $4.43 | $14.75 | $14.75 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Aetna | Medicare Advantage | $4.43 | $14.75 | $14.75 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Anthem | Medicare Advantage | $4.43 | $14.75 | $14.75 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | United Healthcare | Medicare Advantage | $4.43 | $14.75 | $14.75 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Anthem | Medicare Advantage | $4.43 | $14.75 | $14.75 | 2025-09-09 | 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 ↗ |
| Franklin Memorial Hospital OutpatientFacility | Wellcare | Medicare Advantage | $4.56 | $14.75 | $14.75 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Wellcare | Medicare Advantage | $4.56 | $14.75 | $14.75 | 2025-09-09 | 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 | PPO | $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 | QUALCARE | HMO | $4.80 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Ambetter | Commercial-Exchange | $4.90 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Oscar | HIX | $5.01 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $5.01 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $5.01 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FIRST MCO | WORKERS COMP | $5.10 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | INTERGROUP | ALL PRODUCTS | $5.10 | $6.00 | $2.07 | 2025-12-29 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $5.18 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $5.27 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | WPPA ProviDrs Care Network | UnifiedHealthPlan | $5.27 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | ASO | $5.56 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | HMO | $5.56 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | EPO | $5.56 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.71 | $3,173.78 | — | 2025-12-31 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $5.72 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $5.72 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $5.72 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $5.72 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $5.72 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $5.77 | — | — | 2026-05-06 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $5.80 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | NovaSys | Commercial/Exchange | $5.98 | $38.00 | $5.70 | 2026-02-27 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $6.04 | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $6.04 | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $24.14 | $16.90 | 2025-10-28 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $6.07 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $6.08 | $46.80 | $46.80 | 2026-03-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $6.50 | $276.00 | $110.40 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $6.50 | $276.00 | $110.40 | 2026-05-13 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $6.54 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $6.62 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $6.87 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $6.87 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $6,223.50 | $4,045.28 | 2025-11-26 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | POS | $6.99 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Humana | PPO | $6.99 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $7.16 | $28.62 | $15.74 | 2026-02-19 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | $7.29 | — | — | 2026-05-06 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL OutpatientFacility | Magnolia TN | Exchange | $7.57 | $38.00 | $7.98 | 2026-02-28 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE OutpatientFacility | Magnolia TN | Exchange | $7.57 | $38.00 | $7.98 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL FOR WOMEN OutpatientFacility | Magnolia TN | Exchange | $7.57 | $38.00 | $7.98 | 2026-02-27 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | LocalKC | $7.78 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $7.91 | $26.37 | $26.37 | 2026-03-01 | MRF ↗ |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL OutpatientFacility | Commonwealth Care Alliance | ICO-SCO | $8.14 | $22.00 | $15.40 | 2026-01-28 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | PPO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $8.30 | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $8.30 | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial PPO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage HMO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Cigna | PPO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage PPO | — | $83.00 | $83.00 | 2026-04-15 | MRF ↗ |
| Research Medical Center Outpatient | Ambetter | Commercial-Exchange | $8.70 | $46.80 | $46.80 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | NHC Advantage | MGMCD | $8.89 | $46.80 | $46.80 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | NHC Advantage | MGMCR | $8.89 | $46.80 | $46.80 | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Oscar | HIX | $8.89 | $46.80 | $46.80 | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Magnolia TN | Exchange | $8.98 | $38.00 | $5.70 | 2026-02-27 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | — | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $9.12 | — | — | 2026-05-06 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.17 | $141.00 | $91.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.17 | $141.00 | $91.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.17 | $141.00 | $91.65 | 2026-03-12 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Universal Healthcare | MCR | $9.23 | $26.37 | $26.37 | 2026-03-01 | 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.