A9576 — Inj Prohance Multipack
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj prohance multipack (HCPCS A9576) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9576?code_type=HCPCS
MLA (9th ed.)
“Inj prohance multipack (HCPCS A9576) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9576?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj prohance multipack (HCPCS A9576) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9576?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$189 (25th–75th percentile) across 1,421 hospitals · 2,098 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9576 — 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
$11 typical
$189
The middle 50% of negotiated facility rates for this procedure, measured across 1,421 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $11 |
| Likely subtotal | $11 |
Facility charge (no separate professional fee)
$11
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–$189.
- 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 |
|---|---|---|---|---|---|---|---|
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $0.12 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $98.00 | $73.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $98.00 | $73.50 | 2026-09-01 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|All Other Plans | $0.15 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|All Other Plans | $0.15 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | KPSelect | $0.16 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | OptionsPPO | $0.16 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | CommercialSmallGroupPlans | $0.16 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | KPIF | $0.16 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $0.16 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Cigna | Commercial|All Other Plans | $0.18 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $0.21 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $0.21 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $0.21 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $0.22 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $0.22 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $0.22 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $0.22 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $0.22 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Bright Health | OON | $0.23 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVHMO | $0.23 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVPPO | $0.23 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.27 | $13.50 | — | 2026-03-31 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | PPO | $0.28 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | HMO | $0.28 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Core | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Compass | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Access | $0.29 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Commercial | $0.29 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna Whole Health | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Commercial/EPO/HMO/POS/PPO/Indemnity | $0.29 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Medicare Advantage | $0.29 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | MagnaCare | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Colorado Program for Children with Special Needs | HCP | $0.33 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.35 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | GlobalBenefit | $0.35 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| USC ARCADIA HOSPITAL Outpatient | Blue Cross | Blue Cross | $0.37 | $2.00 | $0.70 | 2026-07-15 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | 1199SEIU National Benefit Funds | Commercial | $0.38 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Evernorth (Cigna Behavioral Health) | COMM | $0.39 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Cigna | Commercial|AHN | $0.44 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|AHN | $0.44 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $0.44 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID UNITED HEALTHCAR | DOWNGRADE MEDICAID UHC | $0.44 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.44 | — | — | 2026-01-29 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|AHN | $0.44 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Cigna | Commercial|NBR | $0.45 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|NBR | $0.45 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|NBR | $0.45 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | MagnaCare | Commercial | $0.48 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $0.49 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.50 | — | — | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $0.50 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFitLeanBenefitPlans | $0.50 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $0.50 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | BroadLeanBenefitPlans | $0.50 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.50 | — | — | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Western Plains Community Health | COMM | $0.51 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Aetna | Node Aetna Mcr Adv | $0.51 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $0.53 | $5.85 | $1.58 | 2026-07-15 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|All Other Plans | $0.55 | $4.55 | $1.16 | 2026-02-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $0.55 | $2.13 | $1.71 | 2026-01-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Cigna | Commercial|All Other Plans | $0.55 | $4.55 | $1.16 | 2026-02-28 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | NorthCare | COMM | $0.55 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Physician Health Partners | MCR | $0.55 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $0.55 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $0.58 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | One Care Medicare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Mercy Care Medicare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | University Care Medicare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Tricare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Anthem | PAR | $0.58 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Tricare West Region | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Wps | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Arizona Foundation Medical Care | Arizona Foundation Medical Care | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Health Choice Medicare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Bcbs Of Az | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Geha | Geha | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Uhc | United Healthcare | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Wellcare Medicare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Uhc | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Aarp | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Allwell Medicare | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Champ Va | Medicare Managed (100% Pom) | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana | Humana | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| COBRE VALLEY REGIONAL MEDICAL CENTER Outpatient | Arizona Complete Care | Arizona Complete Care/Ambetter | — | $2.06 | $2.06 | 2026-05-09 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Inpatient | Aetna | Commercial|All Other Plans | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Inpatient | Aetna | Commercial|HMO | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Inpatient | Aetna | Commercial|PPO | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Inpatient | Aetna | Commercial|All Other Plans | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Inpatient | Aetna | Commercial|HMO | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Inpatient | Aetna | Commercial|PPO | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Inpatient | Aetna | Commercial|All Other Plans | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Inpatient | Aetna | Commercial|HMO | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Inpatient | Aetna | Commercial|PPO | $0.62 | $1.23 | $0.32 | 2026-02-28 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Medical Development International | COMM | $0.62 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | TriWest Health Alliance | FED | $0.62 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $11.00 | — | 2026-07-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Pacific Source | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Tricare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $0.63 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington Options, Inc | All Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Washington L & I | Workers Comp | — | — | — | 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 | Regence Blueshield of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | BCBS | MCRPPO | $0.63 | $9.59 | $9.59 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | BCBS | MCRHMO | $0.63 | $9.59 | $9.59 | 2026-03-01 | 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 ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Cigna | Commercial|All Other Plans | $0.64 | $4.55 | $1.17 | 2026-02-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Access | $0.64 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial/EPO/HMO/POS/PPO/Indemnity | $0.64 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $0.66 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Aetna | MCR | $0.66 | $9.59 | $9.59 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | BeechStreetCOMMPPO | $0.70 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $0.70 | $0.78 | $0.78 | 2026-03-01 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $0.77 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Medicaid Tx | $0.77 | $5.85 | $1.05 | 2026-07-15 | MRF ↗ |
| USC ARCADIA HOSPITAL Outpatient | Healthcare Partners | Healthcare Partners | $0.80 | $2.00 | $0.70 | 2026-07-15 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | Medicare Advantage PPO | $0.80 | $5.00 | — | 2025-12-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Access | Medicaid | $0.80 | $3.00 | $2.25 | 2026-01-01 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.81 | $6.03 | $2.35 | 2026-07-15 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.82 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $0.84 | $2.13 | $1.71 | 2026-01-28 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.84 | $9.77 | $2.64 | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.84 | $9.77 | $2.64 | 2026-07-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $0.85 | — | — | 2026-05-14 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.85 | $5.85 | $1.58 | 2026-07-15 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID AETNA | MCD AETNA OP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID UNITED HEALTHCAR | MCD UHC IP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID AETNA | MCD AETNA IP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID BLUE CROSS | MCD HEALTHY BLUE OP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID BLUE CROSS | MCD HEALTHY BLUE IP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID UNITED HEALTHCAR | MCD UHC OP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID LA HEALTHCARE | MCD LHC OP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID AMERIHEALTH | MCD AMERIHEALTH OP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID AMERIHEALTH | MCD AMERIHEALTH IP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID LOUISIANA | MEDICAID OP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID LOUISIANA | MEDICAID IP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID LA HEALTHCARE | MCD LHC IP | $0.85 | $6.00 | $3.30 | 2026-05-04 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $0.85 | — | — | 2026-05-24 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $0.86 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $0.86 | — | — | 2026-09-21 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $0.87 | $9.77 | $2.64 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $0.87 | $9.77 | $2.64 | 2026-07-15 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $0.87 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $0.87 | — | — | 2025-06-27 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.88 | $5.08 | $1.68 | 2026-07-15 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | SelectHealth | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence BlueShield of Idaho | Commercial | — | — | — | 2026-08-18 | 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.