A9584 — Iodine I-123 Ioflupane
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Iodine i-123 ioflupane (HCPCS A9584) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9584?code_type=HCPCS
MLA (9th ed.)
“Iodine i-123 ioflupane (HCPCS A9584) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9584?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Iodine i-123 ioflupane (HCPCS A9584) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9584?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,527–$5,990 (25th–75th percentile) across 1,768 hospitals · 4,347 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9584 — 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
$1,527
$3,122 typical
$5,990
The middle 50% of negotiated facility rates for this procedure, measured across 1,768 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,122 |
| Likely subtotal | $3,122 |
Facility charge (no separate professional fee)
$3,122
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 $1,527–$5,990.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $56,161.00 | $28,080.50 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $56,161.00 | $28,080.50 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $12,340.00 | $6,787.00 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,404.00 | $4,072.20 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $7,404.00 | $6,293.40 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $7,404.00 | $6,293.40 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $7,404.00 | $4,072.20 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $19,744.00 | $13,820.80 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $12,340.00 | $6,787.00 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $19,744.00 | $13,820.80 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $7,404.00 | $4,072.20 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $7,404.00 | $6,293.40 | 2025-01-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.33 | — | — | 2026-03-04 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,513.11 | — | 2026-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,089.00 | $4,566.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,229.00 | $3,171.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,229.00 | $3,171.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,089.00 | $4,566.75 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,229.00 | $3,171.75 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,089.00 | $4,566.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,229.00 | $3,171.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,089.00 | $4,566.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,089.00 | $4,566.75 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH DULUTH 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 | $4,229.00 | $3,171.75 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $16,100.00 | $8,050.00 | 2026-07-01 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $7,745.16 | $3,020.61 | 2026-07-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Prospect Health Plan, Inc. | Medi-Cal | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.33 | $6,296.00 | — | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,340.00 | $8,021.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,340.00 | $8,021.00 | 2025-01-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $20.71 | $3,892.00 | $3,892.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $20.71 | $3,892.00 | $3,892.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $20.71 | $3,892.00 | $3,892.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $23.09 | $6,240.00 | $5,928.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $23.09 | $6,240.00 | $5,928.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $23.09 | $6,240.00 | $5,928.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $23.71 | $6,240.00 | $5,928.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $24.34 | $6,240.00 | $5,928.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $24.96 | $6,240.00 | $5,928.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $25.93 | $5,292.00 | $5,027.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $25.93 | $5,292.00 | $5,027.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $26.46 | $5,292.00 | $5,027.40 | 2026-02-20 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-08-01 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $27.39 | — | — | 2026-07-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $27.52 | $5,292.00 | $5,027.40 | 2026-02-20 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-08-01 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $27.66 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid Hmo | $28.20 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-08-01 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-08-01 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-08-01 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Sunshine Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Simply Healthcare | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $28.48 | — | — | 2026-08-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $28.58 | $5,292.00 | $5,027.40 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-08-01 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Aetna | Medicaid Hmo | $29.02 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-08-01 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $29.83 | — | — | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $32.39 | $17,885.00 | — | 2026-02-19 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $37.91 | $3,790.85 | $2,843.14 | 2026-07-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | POS | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $43.07 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $43.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $43.07 | — | — | 2026-03-18 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $45.49 | $3,790.85 | $2,843.14 | 2026-07-17 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | PPO | — | $7,413.31 | $6,078.91 | 2025-11-26 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $49.28 | $3,790.85 | $2,843.14 | 2026-08-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $49.36 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $49.36 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $49.36 | — | — | 2026-03-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.