A9551 — Tc99m Succimer
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tc99m succimer (HCPCS A9551) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9551?code_type=HCPCS
MLA (9th ed.)
“Tc99m succimer (HCPCS A9551) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9551?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tc99m succimer (HCPCS A9551) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9551?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $629–$2,097 (25th–75th percentile) across 1,685 hospitals · 4,122 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9551 — 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
$629
$975 typical
$2,097
The middle 50% of negotiated facility rates for this procedure, measured across 1,685 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $975 |
| Likely subtotal | $975 |
Facility charge (no separate professional fee)
$975
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 $629–$2,097.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,792.87 | $1,523.94 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,792.87 | $1,523.94 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,792.87 | $986.08 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $4,780.99 | $3,346.69 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,988.12 | $1,643.47 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,792.87 | $986.08 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,792.87 | $1,523.94 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,792.87 | $986.08 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,988.12 | $1,643.47 | 2025-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.48 | $267.00 | — | 2024-12-31 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $738.00 | — | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $3,238.00 | $2,428.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $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 TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $3,238.00 | $2,428.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $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 TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $1.01 | $461.00 | $230.50 | 2026-04-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,911.00 | $955.50 | 2026-07-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | BCBS [900043] | BCBS MN [90043] | $4.07 | $3,236.90 | $1,197.65 | 2026-03-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | BCBS MEDICAID REPLACEMENT [950295] | BCBS PMAP [95296] | $4.07 | $3,236.90 | $1,197.65 | 2026-03-31 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $1,915.19 | $746.92 | 2026-07-31 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $10.19 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $10.19 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $10.19 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $10.19 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $10.19 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $10.29 | — | — | 2025-07-22 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Aetna | MCR | $14.80 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | United Healthcare | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Cigna | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | First Choice | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Redirect | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Aetna | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Educators Mutual Insurance | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Select Health | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Union Pacific Railroad | All | $15.20 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $15.73 | $524.29 | $524.29 | 2026-07-15 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | Tricare | All | $16.00 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| Memorial Hospital Sweetwater County BothFacility | VA Health | All | $16.00 | $16.00 | $16.00 | 2026-05-29 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $16.73 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $16.73 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $16.73 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $16.73 | $214.55 | $214.55 | 2026-03-01 | 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 | The Health Plan | 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 | Aultcare | 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 | 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 | Medical Mutual | 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 | 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 | 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 ↗ |
| 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 | 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 ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | 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 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $19.95 | $5,393.00 | $5,123.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.95 | $5,393.00 | $5,123.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.95 | $5,393.00 | $5,123.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.49 | $5,393.00 | $5,123.35 | 2026-02-20 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,988.12 | $1,942.28 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,988.12 | $1,942.28 | 2025-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $21.03 | $5,393.00 | $5,123.35 | 2026-02-20 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid - 95 Percent | $21.08 | $280.23 | — | 2024-12-19 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $21.57 | $5,393.00 | $5,123.35 | 2026-02-20 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Health Plan Medicaid Kids | $22.19 | $280.23 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | UHC Medicaid Kids | $22.19 | $280.23 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Driscoll Health Plan Medicaid | Driscoll Health Plan Medicaid Star Kids | $22.19 | $280.23 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $22.19 | $280.23 | — | 2024-12-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.41 | $4,574.00 | $4,345.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.41 | $4,574.00 | $4,345.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.87 | $4,574.00 | $4,345.30 | 2026-02-20 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $23.02 | $2,301.77 | $1,726.33 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Medicaid | $23.35 | $3,304.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Essential Plans | $23.35 | $3,304.00 | — | 2025-07-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.78 | $4,574.00 | $4,345.30 | 2026-02-20 | 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 ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $24.70 | $4,574.00 | $4,345.30 | 2026-02-20 | 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 ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | HIX | $27.25 | $214.55 | $214.55 | 2026-03-01 | 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 ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $27.62 | $2,301.77 | $1,726.33 | 2026-07-17 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $29.92 | $2,301.77 | $1,726.33 | 2026-08-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Oscar Health Plan Hix | Oscar Health Plan Hix | $32.14 | $524.29 | $524.29 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Oscar | HIX | $32.18 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $32.22 | $2,301.77 | $1,726.33 | 2026-08-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | MGMCR | $33.04 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $1,059.00 | $794.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $1,059.00 | $794.25 | 2024-12-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $33.75 | — | — | 2025-10-24 | 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 | $6,509.00 | $4,881.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $6,509.00 | $4,881.75 | 2024-12-08 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|Affiliated Payers | $34.65 | $165.00 | $48.51 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|All Other Plans | $34.65 | $165.00 | $48.51 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|Affiliated Payers | $34.65 | $165.00 | $48.51 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Kaiser | Commercial|All Other Plans | $34.65 | $165.00 | $48.51 | 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 | Ohio Health Choice | Commercial|All Plans | $35.00 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $35.19 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| AVITA ONTARIO Both | Mount Carmel | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Aetna | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | United Healthcare | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Buckeye | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Humana | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Traditional Medicare | Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Molina | Medicare Outpatient | $35.35 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $35.51 | $267.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $35.51 | $267.00 | — | 2025-12-31 | MRF ↗ |
| AVITA ONTARIO Both | Medical Mutual | Medicare Outpatient | $36.06 | $374.00 | $317.90 | 2026-07-15 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Star Health Plan | $36.40 | $280.23 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | United Healthcare Star Plan | $36.40 | $280.23 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Driscoll Health Plan Medicaid | Driscoll Star | $36.40 | $280.23 | — | 2024-12-19 | 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 ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $37.33 | $214.55 | $214.55 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $37.33 | $214.55 | $214.55 | 2026-03-01 | 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 ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $37.65 | $267.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $37.65 | $267.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $37.65 | $267.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $37.91 | $267.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $37.91 | $267.00 | — | 2024-12-31 | 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 ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Star Healthcare of TX | $38.58 | $280.23 | — | 2024-12-19 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $38.60 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $38.60 | $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 ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $39.40 | $1,876.18 | $1,407.14 | 2026-08-01 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $29,401.00 | — | 2026-01-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $41.22 | $808.28 | $808.28 | 2024-10-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $41.38 | $267.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $41.39 | $267.00 | — | 2025-12-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $41.85 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $41.85 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $41.85 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $41.85 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $42.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Dual Medicare-Medicaid/MMAI | $42.75 | $125.00 | $93.75 | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Dual Medicare-Medicaid/MMAI | $42.75 | $125.00 | $93.75 | 2025-11-12 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $42.99 | $267.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $42.99 | $267.00 | — | 2025-12-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $43.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $43.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $43.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $43.50 | $50.00 | $24.80 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) ACA Tiered | HMO/PPO | $43.63 | $245.00 | $220.50 | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $43.79 | $267.00 | — | 2025-12-31 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $29,401.00 | — | 2026-01-23 | 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.