A9571 — Indium In-111 Auto Platelet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INDIUM IN-111 AUTO PLATELET (HCPCS A9571) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9571?code_type=HCPCS
MLA (9th ed.)
“INDIUM IN-111 AUTO PLATELET (HCPCS A9571) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9571?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INDIUM IN-111 AUTO PLATELET (HCPCS A9571) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9571?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,970–$8,138 (25th–75th percentile) across 929 hospitals · 864 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9571 — 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
$3,970
$6,122 typical
$8,138
The middle 50% of negotiated facility rates for this procedure, measured across 929 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,122 |
| Likely subtotal | $6,122 |
Facility charge (no separate professional fee)
$6,122
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 $3,970–$8,138.
- 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 | — | $14,403.60 | $10,082.52 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $5,401.35 | $2,970.74 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $5,401.35 | $4,591.15 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $9,002.25 | $4,951.24 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $9,002.25 | $4,951.24 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $14,403.60 | $10,082.52 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $5,401.35 | $4,591.15 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $5,401.35 | $2,970.74 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $5,401.35 | $4,591.15 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $5,401.35 | $2,970.74 | 2025-01-01 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | United Healthcare | All HMO Plans | $0.10 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | EmblemHealth | nystateofhealth plans | $0.10 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | EmblemHealth | All Commercial Plans | $0.10 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Oxford Health Plans | All Commercial Plans | $0.11 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Cigna Healthcare | All Commercial Plans | $0.11 | — | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Cigna Healthcare | All Commercial Plans | $0.11 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Aetna | Commercial | $0.15 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | EmblemHealth | All NYS Essential Plans | $0.16 | — | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Aetna | Commercial | $0.24 | — | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Consumer Health Network | All Commercial Plans | $0.26 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | MagnaCare | All Commercial Plans | $0.27 | — | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | MagnaCare | All Commercial Plans | $0.27 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | EmblemHealth | All Commercial Plans | $0.28 | — | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Claritev dba MultiPlan | All Commercial Plans | $0.28 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health Coventry | All Commercial Plans | $0.30 | — | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Claritev dba MultiPlan | All Commercial Plans | $0.30 | — | $0.35 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | First Health | All Commercial Plans | $0.30 | $0.35 | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Beechstreet | All Commercial Plans | $0.32 | — | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Devon | All Commercial Plans | $0.32 | — | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health | All Commercial Plans | $0.33 | — | $0.35 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Consumer Health Network | All Commercial Plans | $0.33 | — | $0.35 | 2026-03-31 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,740.00 | — | 2026-07-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | 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 | 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 ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $9,002.25 | $5,851.46 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $9,002.25 | $5,851.46 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $3,490.00 | $3,490.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $3,490.00 | $3,490.00 | 2026-07-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | UHC | All Products | $62.00 | $5,401.35 | $2,970.74 | 2025-01-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $75.00 | $9,002.25 | $5,851.46 | 2025-01-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $78.28 | — | — | 2026-02-19 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $79.78 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $79.78 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $82.17 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $82.17 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $82.17 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $82.17 | — | — | 2026-07-31 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $5,401.35 | $4,591.15 | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $90.89 | $1,514.87 | $1,514.87 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $90.89 | $1,514.87 | $1,514.87 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $90.89 | $1,514.87 | $1,514.87 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $90.89 | $1,514.87 | $1,514.87 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $90.89 | $1,514.87 | $1,514.87 | 2026-03-01 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $98.80 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $98.80 | — | — | 2025-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $101.57 | $1,692.86 | $1,692.86 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $101.57 | $1,692.86 | $1,692.86 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $101.57 | $1,692.86 | $1,692.86 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $101.57 | $1,692.86 | $1,692.86 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $101.57 | $1,692.86 | $1,692.86 | 2026-03-01 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $102.62 | — | — | 2025-06-28 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $102.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $102.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $104.73 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $104.73 | — | — | 2025-01-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARKids | $105.66 | $1,760.99 | $1,760.99 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STAR | $105.66 | $1,760.99 | $1,760.99 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHIP | $105.66 | $1,760.99 | $1,760.99 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHPFC | $105.66 | $1,760.99 | $1,760.99 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARPLUS | $105.66 | $1,760.99 | $1,760.99 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $105.66 | $1,760.99 | $1,760.99 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $105.66 | $1,760.99 | $1,760.99 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $105.66 | $1,760.99 | $1,760.99 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $105.66 | $1,760.99 | $1,760.99 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $105.66 | $1,760.99 | $1,760.99 | 2026-03-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STAR | $105.66 | $1,760.99 | $1,760.99 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | CHIP | $105.66 | $1,760.99 | $1,760.99 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STARPLUS | $105.66 | $1,760.99 | $1,760.99 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | CHPFC | $105.66 | $1,760.99 | $1,760.99 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STARKids | $105.66 | $1,760.99 | $1,760.99 | 2026-09-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $106.11 | — | — | 2026-06-15 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Empire | Medicare Advantage | $107.00 | $5,401.35 | $4,591.15 | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $107.69 | — | — | 2025-01-01 | 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.