A9575 — Gadoterate Meglumine 0.5 Mmol/ml (376.9 Mg/ml) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION (HCPCS A9575) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9575?code_type=HCPCS
MLA (9th ed.)
“GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION (HCPCS A9575) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9575?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION (HCPCS A9575) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9575?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$139 (25th–75th percentile) across 1,820 hospitals · 4,383 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9575 — 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
$4
$51 typical
$139
The middle 50% of negotiated facility rates for this procedure, measured across 1,820 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $51 |
| Likely subtotal | $51 |
Facility charge (no separate professional fee)
$51
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 $4–$139.
- 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 | Correct Care Integrated Health | Medicaid | — | $242.80 | $169.96 | 2025-01-01 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Uhc | Commercial | — | $264.57 | $264.57 | 2026-05-13 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $34.20 | $18.81 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $151.75 | $83.46 | 2025-01-01 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Uhc | Medicare | — | $264.57 | $264.57 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Wellmark | Medicare | — | $264.57 | $264.57 | 2026-05-13 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $91.05 | $50.08 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $91.05 | $77.39 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $242.80 | $169.96 | 2025-01-01 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Iowa Total Care | Medicaid | — | $264.57 | $264.57 | 2026-05-13 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $91.05 | $50.08 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $151.75 | $83.46 | 2025-01-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Amerivantage | Medicare Advantage | — | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $0.03 | $0.09 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Prime Care | $0.03 | $0.09 | — | 2026-04-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $0.03 | $0.12 | $0.12 | 2026-10-12 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Ohio PPO | Ohio PPO Connect | $0.03 | $0.09 | — | 2026-04-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $0.03 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $0.03 | $0.12 | $0.12 | 2026-10-12 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $0.03 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $0.03 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $0.03 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Partner | $0.03 | $0.09 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Market | $0.03 | $0.09 | — | 2026-04-01 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | Medicare Cost | $0.04 | $0.17 | $0.07 | 2025-02-10 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.04 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Aetna | HMO | $0.04 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $0.04 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $0.04 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Aetna | PPO | $0.04 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $0.04 | $0.09 | — | 2026-04-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $0.04 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| Memorial Satilla Health Outpatient | Amerigroup | MCD | $0.04 | $0.32 | $0.32 | 2026-03-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Aetna | HMO | $0.04 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | PMAP | $0.04 | $0.17 | $0.07 | 2025-02-10 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $0.04 | $0.09 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $0.04 | $0.10 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Ohio PPO | Ohio PPO Connect | $0.04 | $0.10 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | ODRC | ODRC | $0.04 | $0.09 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $0.04 | $0.09 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Market | $0.04 | $0.12 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Healthspan | Healthspan - Commercial | $0.04 | $0.09 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $0.04 | $0.09 | — | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.04 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | UCare | PMAP | — | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.04 | — | — | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $0.04 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Aetna | PPO | $0.04 | $0.08 | $0.07 | 2026-01-28 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $0.05 | $0.12 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $0.05 | $0.12 | — | 2026-04-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $0.05 | $0.12 | — | 2026-04-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | MCR | $0.05 | $0.32 | $0.32 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $0.05 | $0.10 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $0.05 | $0.10 | — | 2026-04-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| CENTRAL VERMONT MEDICAL CENTER InpatientFacility | Humana Military | TRICARE | $0.05 | $0.12 | $0.12 | 2026-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $0.05 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $0.05 | $0.10 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Healthspan | Healthspan - Commercial | $0.05 | $0.12 | — | 2026-04-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Blue Cross of Minnesota | Managed Medicaid | $0.05 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Blue Cross of Minnesota | Managed Medicaid | $0.05 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.05 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | PMAP | $0.06 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | Medicare Cost | $0.06 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $0.06 | $21.00 | $7.56 | 2026-07-15 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Medica | Minnesota Care/AccessAbility/Choice Care Government | $0.06 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | UNITED | UNITED HEALTHCARE | $0.06 | $0.25 | $0.10 | 2026-04-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| Memorial Satilla Health Outpatient | Peach State | MGMCD | $0.06 | $0.32 | $0.32 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Wellcare | MCD | $0.06 | $0.32 | $0.32 | 2026-03-01 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Advantage | $0.06 | $0.45 | — | 2024-12-31 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2026-03-27 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Medica | AccessAbility | $0.06 | $0.17 | $0.08 | 2026-01-28 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2026-03-27 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| MERIT HEALTH MADISON Outpatient | UNITED | UNITED HEALTHCARE | $0.06 | $0.25 | $0.10 | 2026-03-25 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Medica | Minnesota Care/AccessAbility/Choice Care Government | $0.06 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| MERIT HEALTH MADISON Outpatient | UNITED_EXCHANGE | UNITED HEALTHCARE INSURANCE EXCHANGE | $0.06 | $0.25 | $0.10 | 2026-03-25 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2025-01-14 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Aetna | Aetna Transplant | $0.06 | $0.09 | — | 2026-04-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid/Essential Plans | $0.06 | $0.12 | $0.12 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $0.06 | $0.12 | $0.12 | 2026-10-12 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2025-01-14 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $0.06 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Washington L & I | Workers Comp | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Medica | Managed Medicaid | $0.06 | $0.17 | $0.08 | 2026-01-28 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Pacific Source | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Tricare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington Options, Inc | All Plans | — | — | — | 2026-08-19 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Medica | AccessAbility | $0.06 | $0.17 | $0.08 | 2026-01-29 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Medicare | Medicare Perennial Advantage | $0.06 | $0.28 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | MediGold | MediGold | $0.06 | $0.28 | — | 2026-07-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Anthem | Child Health Plus | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $0.34 | $0.15 | 2026-01-29 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.06 | $0.34 | $0.15 | 2026-01-29 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Healthspan | Healthspan - Medicare | $0.06 | $0.28 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $0.06 | $0.09 | — | 2026-04-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid | $0.06 | $0.17 | $0.08 | 2026-01-29 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | UNITED_EXCHANGE | UNITED HEALTHCARE INSURANCE EXCHANGE | $0.06 | $0.25 | $0.10 | 2026-04-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.14 | $0.04 | 2026-03-27 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Lifetrac | Lifetrac | $0.06 | $0.09 | — | 2026-04-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Department of Athletics | $0.06 | $0.12 | — | 2026-04-01 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2026-03-27 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.14 | $0.04 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $0.06 | $0.14 | $0.04 | 2024-12-30 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $0.06 | $0.12 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $0.06 | $0.09 | — | 2026-04-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Medica | MSHO | $0.07 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.07 | $0.34 | $0.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.07 | $0.34 | $0.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.07 | $0.34 | $0.14 | 2026-02-05 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | UPMC Health Plan | Managed Medicaid | $0.07 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.08 | 2026-02-06 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | QualifiedHealthPlan | $0.07 | $0.32 | $0.32 | 2026-03-01 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL InpatientFacility | United Healthcare | Core | $0.07 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES InpatientFacility | United Healthcare | Core | $0.07 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | United Healthcare | Core | $0.07 | $0.17 | $0.08 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $0.07 | $0.32 | $0.13 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | United Healthcare | Core | $0.07 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | United Healthcare | Core | $0.07 | $0.17 | $0.07 | 2026-02-06 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA HEALTH | $0.07 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | United Healthcare | Core | $0.07 | $0.17 | $0.07 | 2026-02-05 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.07 | $0.34 | $0.14 | 2026-02-06 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Itasca Medical Care | Managed Medicaid | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.07 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.07 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.07 | $0.34 | $0.14 | 2026-02-05 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | Medicare Advantage | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $0.07 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | WellCare | Medicare Advantage | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Sanford Health Plan | Medicare Advantage | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Medica | Medicare Advantage Non-SNP | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | UCare | PMAP | $0.07 | $0.17 | $0.07 | 2025-02-10 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA HEALTH | $0.07 | $0.13 | $0.04 | 2024-12-30 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | United Healthcare | Medicare Advantage | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.07 | $0.34 | $0.14 | 2026-02-06 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | PMAP | $0.07 | $0.31 | $0.13 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $0.07 | $0.12 | $0.07 | 2026-02-28 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | United Healthcare | Core | — | $0.34 | $0.14 | 2025-02-10 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $0.07 | — | — | 2026-05-24 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.07 | $0.17 | $0.07 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $0.07 | $0.34 | $0.14 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | UCare | Government Transplant | $0.07 | $0.17 | $0.07 | 2026-02-06 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA HEALTH | $0.07 | $0.13 | $0.04 | 2025-01-14 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Primewest | Managed Medicaid | — | $0.34 | $0.14 | 2025-02-10 | 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.