A9572 — Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit
Cite this view
APA (7th ed.)
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
MLA (9th ed.)
“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 .
Chicago (notes-bibliography)
“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 $2,061–$9,521 (25th–75th percentile) across 2,102 hospitals · 5,675 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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.
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
$2,061
$4,704 typical
$9,521
The middle 50% of negotiated facility rates for this procedure, measured across 2,102 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,704 |
| Likely subtotal | $4,704 |
Facility charge (no separate professional fee)
$4,704
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 $2,061–$9,521.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $15,327.00 | $13,027.95 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $15,327.00 | $8,429.85 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $382,998.47 | $191,499.24 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $25,545.00 | $14,049.75 | 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 | UHC | All products | — | $40,872.00 | $28,610.40 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $15,327.00 | $8,429.85 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $40,872.00 | $28,610.40 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $15,327.00 | $8,429.85 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $15,327.00 | $13,027.95 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $382,998.47 | $191,499.24 | 2024-12-15 | 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 | EmblemHealth | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | MagnaCare | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Consumer Health Network | All Commercial Plans | $0.03 | $0.04 | $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 ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Aetna | Commercial | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | Blue Cross | Health Advantage | $0.03 | $0.06 | $0.05 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | Blue Cross | All Commercial Products | $0.03 | $0.06 | $0.05 | 2025-11-21 | 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 ↗ |
| 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/QUEENS Both | First Health Coventry | 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 ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | First Health | All Commercial Plans | $0.03 | $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/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 ↗ |
| 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $6,469.00 | $4,851.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $12,234.00 | $9,175.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,761.00 | $2,070.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $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 BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,761.00 | $2,070.75 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,761.00 | $2,070.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,761.00 | $2,070.75 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $12,234.00 | $9,175.50 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,761.00 | $2,070.75 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $6,469.00 | $4,851.75 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $1.48 | $7,776.00 | $5,520.96 | 2026-08-13 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $1.91 | $9,217.00 | $7,373.60 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $1.91 | $9,217.00 | $7,373.60 | 2026-03-26 | MRF ↗ |
| MAPLE GROVE HOSPITAL BothFacility | BLUE CROSS [1021] | MGH XR HB BCBS FEDERAL | $2.00 | $10,110.00 | $5,327.97 | 2026-09-25 | 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 FEDERAL EMPLOYEE [3033] | $2.00 | $10,110.00 | $5,327.97 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL BothFacility | BLUE CROSS [1021] | MGH XR HB BCBS AWARE | $2.04 | $10,110.00 | $5,327.97 | 2026-09-25 | 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 BothFacility | BLUE CROSS [1021] | MGH BCBS PMAP | $2.04 | $10,110.00 | $5,327.97 | 2026-09-25 | 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 Outpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | $2.04 | $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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $30,800.00 | $15,400.00 | 2026-07-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $3.28 | $11,908.00 | $9,526.40 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $3.28 | $11,908.00 | $9,526.40 | 2026-03-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.83 | $3,241.00 | — | 2024-12-31 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $12,025.80 | $4,690.06 | 2026-07-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Prospect Health Plan, Inc. | Medi-Cal | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $5,806.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $5,806.00 | $24.67 | 2026-03-22 | 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 ↗ |
| RARITAN BAY 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $27.91 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $27.91 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $27.91 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $29.42 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $30.17 | $7,543.00 | $7,165.85 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 | Veteran's Administration (VA CCN) | VA Network | $31.35 | $6,398.00 | $6,078.10 | 2026-02-20 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER | Multiplan Network_Multiplan Network | — | $31.84 | $398.00 | $278.60 | 2026-07-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $31.99 | $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 Both | MEDICAID_TEXAS | MEDICAID TEXAS | $34.85 | $220.00 | $2,106.07 | 2025-04-28 | 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 Outpatient | BCBSTX_MEDICAID | BCBS OF TEXAS MEDICAID STAR | $34.85 | $220.00 | $0.01 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $34.85 | $220.00 | $0.01 | 2024-09-02 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Both | Prime Group Health | Workers Comp | $38.75 | $109.00 | $49.05 | 2026-07-17 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Evernorth Behavioral Health | Commercial | $44.10 | $63.00 | $2,000.94 | 2026-07-13 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MagnaCare | Commercial | $44.10 | $63.00 | $2,000.94 | 2026-07-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $16,361.00 | $12,270.75 | 2024-12-08 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $4,628.00 | $3,471.00 | 2024-12-08 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 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 | Uhc Charter/Navigate | — | — | — | 2026-07-14 | 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 | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC 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 | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 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 | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 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 PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 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 | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 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 | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $9,316.00 | $9,316.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $9,316.00 | $9,316.00 | 2026-07-15 | 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 | Cigna_HealthSpring | _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 | Devoted_Health | Medicare | $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 | WellCare | Medicare_HMO_PPO | $57.00 | $386,681.14 | $193,340.57 | 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 SHAWNEE MISSION Outpatient | Aetna | 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 DADE CITY Outpatient | Humana | PPO/PFFS_Medicare | $57.00 | $368,267.80 | $147,307.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicare_HMO_PPO | $57.00 | $386,681.14 | $193,340.57 | 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.