A9569 — Technetium Tc-99m Auto Wbc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Technetium tc-99m auto wbc (HCPCS A9569) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9569?code_type=HCPCS
MLA (9th ed.)
“Technetium tc-99m auto wbc (HCPCS A9569) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9569?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Technetium tc-99m auto wbc (HCPCS A9569) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9569?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,040–$3,746 (25th–75th percentile) across 1,916 hospitals · 4,315 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9569 — 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
$1,040
$1,925 typical
$3,746
The middle 50% of negotiated facility rates for this procedure, measured across 1,916 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,925 |
| Likely subtotal | $1,925 |
Facility charge (no separate professional fee)
$1,925
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 $1,040–$3,746.
- 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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,916.49 | $4,179.02 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $314,347.24 | $157,173.62 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $8,194.15 | $4,506.78 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $13,110.64 | $9,177.45 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $4,916.49 | $2,704.07 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $314,347.24 | $157,173.62 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $8,194.15 | $4,506.78 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,916.49 | $4,179.02 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,916.49 | $4,179.02 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $13,110.64 | $9,177.45 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $4,916.49 | $2,704.07 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $4,916.49 | $2,704.07 | 2025-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $560.00 | $420.00 | 2026-05-20 | 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 EXCHANGE | $1.00 | $560.00 | $420.00 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,188.00 | $3,141.00 | 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 | $4,188.00 | $3,141.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,188.00 | $3,141.00 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $560.00 | $420.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $560.00 | $420.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,188.00 | $3,141.00 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $560.00 | $420.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,188.00 | $3,141.00 | 2026-05-20 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Coventry Aetna | Medicare Hmo | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Va | Commercial | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Coventry Aetna | Medicare Ppo | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Uhc | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Aetna | Medicare Ppo | $1.04 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Blue Cross | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Wellmark | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Aetna | Medicare Hmo | $1.04 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Aetna | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Medical Associates | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | United Healthcare | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Coventry Aetna | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Humana | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-08 | 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 ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Molina | Medicare | $1.09 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Humana | Medicare | $1.10 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Molina | Medicare | $1.14 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Iowa Total Care | Medicaid | $1.17 | $2.00 | $1.60 | 2026-05-08 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Iowa Total Care | Medicaid | $1.20 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $1.26 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $1.26 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Inpatient | Wellmark | Hmo | $1.34 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Inpatient | Wellmark | Ppo | $1.34 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Inpatient | Blue Cross | Ppo | $1.34 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Inpatient | Blue Cross | Hmo | $1.34 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Midlands Choice | Commercial | $1.40 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Health Partners | Commercial | $1.40 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Midlands Choice | Commercial | $1.40 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Health Partners | Commercial | $1.40 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Medical Associates | Hmo | $1.50 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Medical Associates | Hmo | $1.50 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Quartz | Commercial | $1.60 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Quartz | Commercial | $1.60 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Health Choices | Commercial | $1.72 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Medical Associates | Medicare | $1.72 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Health Choices | Commercial | $1.72 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.73 | $14,175.00 | $1,417.50 | 2026-07-15 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Inpatient | Uhc | Commercial | $1.84 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Inpatient | United Healthcare | Commercial | $1.84 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Oscar | Medicaid | $2.00 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL OutpatientFacility | Viva | Commercial | $2.00 | $5,652.00 | — | 2026-02-19 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Wellmark | Ppo | $2.00 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Wellmark | Hmo | $2.00 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Blue Cross | Hmo | $2.00 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Blue Cross | Ppo | $2.00 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $2,163.00 | $1,081.50 | 2026-07-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | BLUE CROSS PPO | 2059_SJMC BLUE CROSS BLUE SHIELD PPO 20220401 | $3.24 | $2,389.00 | $1,337.84 | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | BLUE CROSS TRADITIONAL | 2058_SJMC BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $3.24 | $2,389.00 | $1,337.84 | 2026-01-01 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | bcbsm | commercial | $3.55 | $3.55 | $3.55 | 2026-02-24 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Anthem | Commercial | $3.88 | $2,601.00 | $1,820.70 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Traditional | Commercial | $3.88 | $2,601.00 | $1,820.70 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Care Network | Commercial | $3.88 | $2,601.00 | $1,820.70 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Trust | Commercial | $3.88 | $2,601.00 | $1,820.70 | 2025-03-12 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Anthem | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Medigold | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Anthem | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Medigold | Medicare Advantage | $3.90 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Humana/Choice Care | All Plans | $3.94 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source | Medicare Advantage | $3.98 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source | Medicare Advantage | $3.98 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $4.00 | $1,170.00 | $585.00 | 2025-02-03 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | BCBSM | GM Connected Care | $4.59 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | BCBSM | GM Connected Care | $4.59 | — | — | 2025-06-28 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | SISCO-ALL OTHER PLANS | SISCO-ALL OTHER PLANS | $4.62 | $2,468.00 | $1,480.80 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | SISCO EPI | SISCO EPI | $4.62 | $2,468.00 | $1,480.80 | 2026-05-05 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | BCBSM/BCN | PPO/HMO | $4.70 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | BCBSM/BCN | PPO/HMO | $4.74 | — | — | 2025-06-28 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | U OF M HEALTH PLAN | UNIVERSITY OF MICHIGAN HEALTH PLAN PPO | $5.07 | $8,194.15 | $5,326.20 | 2026-03-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | PHYSICIANS HEALTH PLAN | All Products | $5.07 | $8,194.15 | $5,326.20 | 2025-01-01 | MRF ↗ |
| Saint Mary's Health Care BothFacility | U OF M HEALTH PLAN | UNIV OF MI HLTH PLAN MI CARE NETWORK PPO | $5.07 | $8,194.15 | $5,326.20 | 2026-03-31 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Gateway Health | Commercial | $5.36 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Gateway Health | Commercial | $5.36 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Anthem | Medicare Advantage | $5.52 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Molina Marketplace | Commercial | $6.39 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Molina Marketplace | Commercial | $6.39 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicare Advantage | $6.66 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $6.66 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Medigold | Medicare Advantage | $6.66 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage/Dual | $6.66 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Humana/Choice Care | Medicare Advantage | $6.66 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $6.66 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Care Source | Medicare Advantage | $6.79 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| MCLAREN PORT HURON Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $7.00 | $2,733.00 | $1,366.00 | 2025-02-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source Just4Me | Commercial | $7.02 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source Just4Me | Commercial | $7.02 | $16.24 | $8.12 | 2025-10-08 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina Marketplace | Commercial | $7.32 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Care Source Just4Me | Commercial | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage/Dual | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Care Source | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Anthem Ohio Exchange | HMO | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Care Source | Managed Medicaid | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Buckeye Community Health Plan | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Medigold | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | United Community Health Plan | Managed Medicaid | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Medical Mutual of Ohio | Traditional Commercial | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Medical Mutual of Ohio | Managed Care | $7.37 | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Buckeye Community Health Plan | Managed Medicaid | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Anthem Ohio Exchange | PPO | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Anthem | Blue Preferred/Blue Access | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Humana/Choice Care | Medicare Advantage | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Sidecar Health | Commercial | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Gateway Health | Commercial | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Molina Marketplace | Commercial | — | $16.24 | $8.12 | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER InpatientFacility | Anthem Ohio Exchange | Pathway HMO | — | $16.24 | $8.12 | 2025-10-03 | 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.