A9572 — Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit
Cite this view
HANK Price Transparency. (n.d.). INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT (HCPCS A9572) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9572?code_type=HCPCS
“INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT (HCPCS A9572) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9572?code_type=HCPCS. Accessed .
“INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT (HCPCS A9572) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9572?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,056–$9,955 (25th–75th percentile) across 1,718 hospitals · 5,361 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9572 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $15,327.00 | $8,429.85 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $15,327.00 | $13,027.95 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $15,327.00 | $8,429.85 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $15,327.00 | $13,027.95 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $25,545.00 | $14,049.75 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $40,872.00 | $28,610.40 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $40,872.00 | $28,610.40 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $15,327.00 | $13,027.95 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $25,545.00 | $14,049.75 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $15,327.00 | $8,429.85 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Consumer Health Network | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Blue Cross | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | Health Advantage | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | EmblemHealth | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Aetna | Commercial | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | EmblemHealth | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Cigna | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | Health Advantage | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Blue Cross | Health Advantage | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | EmblemHealth | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | QHM | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Cigna | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | MagnaCare | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | First Health | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health Coventry | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | MagnaCare | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | QHM | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Cigna | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Worldwide | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | First Health Coventry | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | MagnaCare | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | First Health Coventry | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Worldwide | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | MagnaCare | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Beech Street | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Consumer Health Network | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | First Health | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Devon | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Beech Street | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | First Health | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Beechstreet | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Devon | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Devon | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Consumer Health Network | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN HOSPITAL Both | Consumer Health Network | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Aetna | Enhanced | $0.05 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Enhanced | $0.05 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Aetna | Enhanced | $0.05 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 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 Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 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 DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $1.91 | $9,217.00 | $7,373.60 | 2026-03-26 | MRF ↗ |
| MAPLE GROVE HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | $2.00 | $10,110.00 | $5,327.97 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | BLUE CROSS [1021] | MGH XR HB BCBS FEDERAL | $2.00 | $10,110.00 | $5,327.97 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | $2.00 | $10,110.00 | $5,327.97 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | $2.04 | $10,110.00 | $5,327.97 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | BLUE CROSS [1021] | MGH XR HB BCBS AWARE | $2.04 | $10,110.00 | $5,327.97 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | BLUE CROSS [1021] | MGH BCBS PMAP | $2.04 | $10,110.00 | $5,327.97 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | $2.04 | $10,110.00 | $5,327.97 | 2024-12-31 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $12,067.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $12,067.00 | — | 2025-06-28 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $3.28 | $11,908.00 | $9,526.40 | 2026-03-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.83 | $3,241.00 | — | 2024-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Prospect Health Plan, Inc. | Medi-Cal | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $25,545.00 | $16,604.25 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $25,545.00 | $16,604.25 | 2025-01-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $22.07 | $12,261.15 | — | 2024-12-31 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $26.29 | $12,026.00 | $6,013.00 | 2026-04-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $27.91 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $27.91 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $27.91 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $28.66 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $29.42 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $30.17 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $30.71 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $30.71 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $31.35 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $31.35 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $31.35 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $31.35 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $31.99 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $32.63 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $16,361.00 | $12,270.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $16,361.00 | $12,270.75 | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $33.27 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $34.55 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $4,628.00 | $3,471.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $4,628.00 | $3,471.00 | 2024-12-08 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBSTX_MEDICAID | BCBS OF TEXAS MEDICAID STAR | $34.85 | $220.00 | $0.01 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Both | BCBSTX_MEDICAID | BCBS OF TEXAS MEDICAID STAR | $34.85 | $220.00 | $2,106.07 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Both | MEDICAID_TEXAS | MEDICAID TEXAS | $34.85 | $220.00 | $2,106.07 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $34.85 | $220.00 | $0.01 | 2024-09-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $4,628.00 | $3,471.00 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $16,361.00 | $12,270.75 | 2024-12-08 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | Humana | PPO/PFFS_Medicare | $57.00 | $368,267.80 | $147,307.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Blue_Cross_Blue_Shield_of_Kansas | HMO_Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Humana_Health | Medicare_HMO_PPO | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna_Health | Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicare_HMO_PPO | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Aetna | Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Humana | Medicare_HMO_PPO_PFFS_Behavioral_Health | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | WellCare | Medicare_HMO_PPO | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | United | Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Devoted_Health | Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Cigna_HealthSpring | _Medicare | $57.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | Medicare | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | Medicare_HMO_PPO | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Wellcare_of_NC | Medicare_HMO | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | PFFS_Medicare | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $58.00 | $6,988.00 | $3,354.24 | 2026-05-13 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna_of_GA | Medicare_HMO | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | $58.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | $58.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | $59.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | $59.00 | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Alignment_Medicare | HMO_PPO_Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Longevity_Health_Plan | Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | $59.00 | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | $59.00 | $390,363.81 | $195,181.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | $59.00 | $386,681.14 | $193,340.57 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | HealthFirst_Plans | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $215,805.34 | $86,322.14 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Humana_CarePlus | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | HealthFirst_Plans | Medicare | $60.00 | $215,805.34 | $86,322.14 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | WellCare_of_Florida | HMO_PPO_Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | BayCare_Select | HMO_Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | HealthFirst_Plans | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Longevity | Medicare_ | $60.00 | $215,805.34 | $86,322.14 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Optimum_Healthcare | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Humana | PFFS_Medicare_ | $60.00 | $215,805.34 | $86,322.14 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UPMC | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Humana | PFFS_PPO_Medicare_ | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | $60.00 | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | $60.00 | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $368,267.80 | $147,307.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | Care_Plus_PPO_PFFS_Medicare_ | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | BayCare_Select | HMO_Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana_CarePlus | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | HealthFirst_Plans | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Humana | PFFS_Medicare_ | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | HealthFirst_Plans | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | HealthFirst_Plans | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | BayCare_Select | HMO_Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | HealthFirst_Plans | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | UPMC_Health_Plan | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Humana | Careplus_HMO | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Humana | HMO_PPO_PFFS_Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | HealthFirst_Plans | Medicare | $60.00 | $386,681.14 | $154,672.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Humana | HMO_PPO_PFFS_Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DADE CITY Outpatient | BayCare_Select | HMO_Medicare | $60.00 | $368,267.80 | $147,307.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PFFS_Medicare_ | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | HealthFirst_Plans | Medicare | $60.00 | $121,897.31 | $48,758.92 | 2024-12-15 | 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.