A9582 — Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN (HCPCS A9582) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9582?code_type=HCPCS
MLA (9th ed.)
“IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN (HCPCS A9582) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9582?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN (HCPCS A9582) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9582?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,364–$10,278 (25th–75th percentile) across 1,829 hospitals · 4,777 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9582 — 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
$2,364
$5,060 typical
$10,278
The middle 50% of negotiated facility rates for this procedure, measured across 1,829 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,060 |
| Likely subtotal | $5,060 |
Facility charge (no separate professional fee)
$5,060
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 $2,364–$10,278.
- 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 |
|---|---|---|---|---|---|---|---|
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $14,667.36 | $8,067.05 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $14,667.36 | $12,467.26 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $14,667.36 | $8,067.05 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $24,445.60 | $13,445.08 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $14,667.36 | $8,067.05 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $39,112.96 | $27,379.07 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $14,667.36 | $12,467.26 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $39,112.96 | $27,379.07 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $14,667.36 | $12,467.26 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $24,445.60 | $13,445.08 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 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 | $19,281.00 | $14,460.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $40,730.00 | $30,547.50 | 2026-09-01 | 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | 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 | $19,281.00 | $14,460.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $40,730.00 | $30,547.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH DULUTH 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1.12 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1.12 | — | — | 2026-09-21 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $27,655.95 | $13,827.97 | 2026-07-01 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $12,285.39 | $4,791.30 | 2026-07-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Prospect Health Plan, Inc. | Medi-Cal | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $10.79 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $10.79 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $13.26 | $33,409.00 | $3,340.90 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $13.26 | $33,409.00 | $3,340.90 | 2026-07-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $14.74 | $6,039.36 | $6,039.36 | 2026-07-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $14.74 | $6,039.36 | $6,039.36 | 2026-07-15 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Wellpoint | Managed Medicaid | $16.95 | $15,089.00 | — | 2026-03-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellpoint | Managed Medicaid | $16.95 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN OutpatientFacility | Wellpoint (Amerigroup) | Medicaid | $16.95 | $16,385.00 | $11,469.50 | 2026-02-27 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Iowa Medicaid | Managed Medicaid | $16.95 | $15,089.00 | — | 2026-03-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellpoint | Managed Medicaid | $16.95 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| The University Of Iowa Hospitals And Clinics OutpatientFacility | Wellpoint (Amerigroup) | Medicaid | $16.95 | $16,385.00 | $11,469.50 | 2026-02-27 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $17.12 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Iowa Total Care | Managed Medicaid | $17.12 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $17.12 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Iowa Total Care | Managed Medicaid | $17.12 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN OutpatientFacility | Molina Healthcare | Medicaid/CHIP | $17.29 | $16,385.00 | $11,469.50 | 2026-02-27 | MRF ↗ |
| UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN OutpatientFacility | Iowa Total Care | Medicaid | $17.29 | $16,385.00 | $11,469.50 | 2026-02-27 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $17.29 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| The University Of Iowa Hospitals And Clinics OutpatientFacility | Molina Healthcare | Medicaid/CHIP | $17.29 | $16,385.00 | $11,469.50 | 2026-02-27 | MRF ↗ |
| The University Of Iowa Hospitals And Clinics OutpatientFacility | Iowa Total Care | Medicaid | $17.29 | $16,385.00 | $11,469.50 | 2026-02-27 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Iowa Medicaid | Total Care | $17.46 | $15,089.00 | — | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $17.46 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $24,445.60 | $24,445.60 | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Molina (Iowa) | Managed Medicaid | $17.54 | $15,089.00 | — | 2026-03-31 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | IAMolina | Medicaid|All Plans | $17.63 | $8,772.00 | $3,684.24 | 2026-02-28 | 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 | $24,445.60 | $15,889.64 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $24,445.60 | $15,889.64 | 2025-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $26.30 | $14,609.00 | — | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $29.03 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $29.03 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $29.03 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $29.82 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $30.23 | $3,022.86 | $2,267.15 | 2026-07-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $30.60 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $30.82 | $123.29 | $80.14 | 2026-08-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $31.39 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $32.61 | $6,655.00 | $6,322.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $32.61 | $6,655.00 | $6,322.25 | 2026-02-20 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $33.27 | $6,655.00 | $6,322.25 | 2026-02-20 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $5,077.00 | $3,807.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $5,077.00 | $3,807.75 | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $34.61 | $6,655.00 | $6,322.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $35.94 | $6,655.00 | $6,322.25 | 2026-02-20 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $36.27 | $3,022.86 | $2,267.15 | 2026-07-17 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Inpatient | Center Care | Center Care | $37.26 | $15,145.00 | — | 2026-04-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $39.30 | $3,022.86 | $2,267.15 | 2026-08-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.