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 $2,428–$10,962 (25th–75th percentile) across 1,538 hospitals · 4,508 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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
$2,428
$5,290 typical
$10,962
The middle 50% of negotiated facility rates for this procedure, measured across 1,538 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,290 |
| Likely subtotal | $5,290 |
Facility charge (no separate professional fee)
$5,290
- 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 MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $14,667.36 | $8,067.05 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $39,112.96 | $27,379.07 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $24,445.60 | $13,445.08 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $39,112.96 | $27,379.07 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $24,445.60 | $13,445.08 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $14,667.36 | $8,067.05 | 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 ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $14,667.36 | $12,467.26 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | 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 ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1.12 | — | — | 2026-05-06 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $1,083.00 | — | 2025-06-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Prospect Health Plan, Inc. | Medi-Cal | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $14.74 | $6,039.36 | $6,039.36 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $14.74 | $6,039.36 | $6,039.36 | 2026-05-26 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Iowa Medicaid | Managed Medicaid | $16.95 | $15,089.00 | — | 2026-03-31 | 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 ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellpoint | Managed Medicaid | $16.95 | $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 | 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 | Molina | Managed Medicaid | $17.12 | $9,143.25 | $6,857.44 | 2025-12-31 | MRF ↗ |
| CHI HEALTH LAKESIDE 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 BERGAN MERCY Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | 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 ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|IA Total Care | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | 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 ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Amerigroup | Medicaid|All Plans | $17.29 | $8,772.00 | $3,684.24 | 2026-02-28 | 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 DUBUQUE 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 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 | 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 ↗ |
| 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 ↗ |
| CHI HEALTH BERGAN MERCY 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 MIDLANDS 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 ↗ |
| MERCYONE NEWTON 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 | 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 NEWTON 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 ↗ |
| 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 ↗ |
| SARTORI MEMORIAL HOSPITAL, INC 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 CLINTON MEDICAL CENTER 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 NORTH IOWA 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 DES MOINES 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 DUBUQUE 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 NEWTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $17.53 | $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 ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Molina (Iowa) | Managed Medicaid | $17.54 | $15,089.00 | — | 2026-03-31 | MRF ↗ |
| CHI HEALTH MIDLANDS 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 BERGAN MERCY 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 LAKESIDE 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 ↗ |
| MONMOUTH 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $29.03 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $29.03 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $29.03 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $29.82 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $30.60 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $31.39 | $7,847.00 | $7,454.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $31.95 | $6,656.00 | $6,323.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $31.95 | $6,656.00 | $6,323.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $32.61 | $6,656.00 | $6,323.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $32.61 | $6,656.00 | $6,323.20 | 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 ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $33.95 | $6,656.00 | $6,323.20 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $5,077.00 | $3,807.75 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $51.00 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $53.77 | — | — | 2026-02-19 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $55.65 | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $55.65 | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | PRIVATE PAY | PRIVATE PAY | $59.50 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $60.00 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $60.00 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | UHC | All Products | $62.00 | $14,667.36 | $8,067.05 | 2025-01-01 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $63.00 | $150.00 | $60.00 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $63.60 | $159.00 | $111.30 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $63.60 | $159.00 | $111.30 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $64.50 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $64.50 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | NO-FAULT | NO-FAULT | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GLOBAL EXCEL MGT | GLOBAL EXCEL MGT | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MVP COMMERCIAL | MVP COMMERCIAL IP | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MVP COMMERCIAL | MVP COMMERCIAL OP | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | CIGNA OTHER | CIGNA COMMERCIAL | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $16,664.46 | $16,664.46 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $23,324.32 | $23,324.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $29,655.62 | $29,655.62 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $23,324.32 | $23,324.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $38,750.49 | $38,750.49 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $38,750.49 | $38,750.49 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $32,075.38 | $32,075.38 | 2026-03-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | AMERICAN PROGRESSIVE INS. | AMERICAN PROGRESSIVE INS. | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | AETNA INS. | AETNA INS. | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | — | — | 2026-03-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMERCIAL / MISC | COMMERCIAL / MISC | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | NO AMER MERITIAN HEALTH | NO AMER MERITIAN HEALTH | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $23,324.32 | $23,324.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Imaging Providers of Texas | HMOBlue | $70.00 | $19,489.75 | $19,489.75 | 2026-03-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GUARDIAN LIFE INS. CO. | GUARDIAN LIFE INS. CO. | $70.00 | $70.00 | $59.50 | 2026-04-07 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $75.00 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | Molina Healthcare of Washington | Medicaid | $78.84 | $400.20 | $160.08 | 2025-09-24 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | $80.00 | $14,667.36 | $8,067.05 | 2025-01-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $80.03 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $80.03 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Aetna | Medicare Advantage | $80.20 | $201.00 | $64.32 | 2025-07-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Oxford | Value Based/Exchange - All Payor | — | $14,609.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $14,609.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | United | HMO | — | $14,609.00 | — | 2024-12-31 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $82.50 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Commercial | $82.50 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Commercial | $82.50 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $82.50 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $84.83 | $159.00 | $111.30 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $84.83 | $159.00 | $111.30 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $87.45 | $159.00 | $111.30 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $87.45 | $159.00 | $111.30 | 2026-03-06 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $14,667.36 | $12,467.26 | 2025-01-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $90.00 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Cigna | Commercial | $90.00 | $150.00 | $45.00 | 2025-08-06 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $96.00 | $160.00 | $152.00 | 2026-05-13 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | UHC MEDICARE | UHC MEDICARE | $97.60 | $160.00 | $152.00 | 2026-05-13 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $98.80 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $98.80 | — | — | 2025-01-01 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $98.92 | — | — | 2025-06-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $100.19 | — | — | 2025-06-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $102.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $102.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $103.74 | — | — | 2025-01-01 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | AETNA | POS | $104.08 | $400.20 | $160.08 | 2025-09-24 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $104.73 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $104.73 | — | — | 2025-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Summacare | MEDICARE ADVANTAGE | $104.73 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $104.73 | — | — | 2025-06-28 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $105.72 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Empire | Medicare Advantage | $107.00 | $14,667.36 | $12,467.26 | 2025-01-01 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $107.25 | — | — | 2025-06-28 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $107.69 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $107.69 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $107.69 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $107.69 | — | — | 2025-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | CARESOURCE | Managed Medicaid | $107.87 | — | — | 2025-06-28 | 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.