A9587 — Gallium Ga-68
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Gallium ga-68 (HCPCS A9587) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9587?code_type=HCPCS
MLA (9th ed.)
“Gallium ga-68 (HCPCS A9587) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9587?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Gallium ga-68 (HCPCS A9587) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9587?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56–$507 (25th–75th percentile) across 1,627 hospitals · 3,515 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9587 — 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
$56
$117 typical
$507
The middle 50% of negotiated facility rates for this procedure, measured across 1,627 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $117 |
| Likely subtotal | $117 |
Facility charge (no separate professional fee)
$117
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 $56–$507.
- 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 | — | $10,500.00 | $5,775.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $17,500.00 | $9,625.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $10,500.00 | $5,775.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $10,500.00 | $5,775.00 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,500.00 | $8,925.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,500.00 | $8,925.00 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $28,000.00 | $19,600.00 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $28,000.00 | $19,600.00 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,500.00 | $8,925.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $17,500.00 | $9,625.00 | 2025-01-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.03 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_0000 | FIDELIS ESSENTIAL PLAN 1-2 IP AND OP NO RATE CODE | $0.04 | $4,725.00 | $70.52 | 2025-01-19 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $0.05 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.05 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $0.07 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $0.07 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $0.07 | $0.07 | $0.07 | 2026-03-27 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.34 | $190.00 | — | 2024-12-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.52 | $140.00 | $133.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.52 | $140.00 | $133.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.52 | $140.00 | $133.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.53 | $140.00 | $133.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.55 | $140.00 | $133.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.56 | $140.00 | $133.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.58 | $118.00 | $112.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.58 | $118.00 | $112.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.61 | $118.00 | $112.10 | 2026-02-20 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $279.34 | — | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.64 | $118.00 | $112.10 | 2026-02-20 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.68 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.68 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.85 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.85 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.89 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.89 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.89 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.89 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.92 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.92 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.92 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.92 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.94 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.97 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.97 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.97 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.97 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.98 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $0.98 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.99 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.99 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $263.00 | $215.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $263.00 | $215.66 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $263.00 | $215.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $263.00 | $215.66 | 2025-11-26 | 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 Outpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | 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 | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH DULUTH 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 ↗ |
| 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 | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $263.00 | $215.66 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $263.00 | $215.66 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.03 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.03 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.03 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.03 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp | Mvp Commercial/Select | $1.05 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cigna | Mvp Commercial/Select | $1.05 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.06 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.09 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.12 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.12 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.14 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.14 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.14 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.16 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.18 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.18 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.18 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.18 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.19 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.19 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.20 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.20 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.20 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.20 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.23 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.23 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.23 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.23 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.45 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.45 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.47 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.47 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.47 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.47 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.61 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.61 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $1.62 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $1.62 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $1.67 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.69 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.69 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $1.82 | $834.00 | $417.00 | 2026-04-02 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.95 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1.95 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.95 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1.95 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $194.00 | — | 2025-06-28 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2.35 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2.35 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2.35 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2.35 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2.35 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2.35 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2.47 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2.47 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $245.00 | $122.50 | 2026-07-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Self-Pay | Self-Pay | $2.50 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp Commercial/Select | Mvp Commercial/Select | $2.50 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $2.89 | $543.00 | $543.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $2.89 | $543.00 | $543.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $2.89 | $543.00 | $543.00 | 2026-07-15 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $3.13 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $3.13 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $3.21 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $3.37 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $3.47 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT SOLOCARE [11101] | Alliant Solocare | $3.70 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $3.70 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | ALLIANT SOLOCARE [11101] | Alliant Solocare | $3.70 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $3.70 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT SOLOCARE [11101] | Alliant Solocare | $3.70 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $3.70 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Pomco | Pomco | $3.90 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Pomco | Pomco | $3.90 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | MEDCOST [10966] | Medcost | $3.98 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | MEDCOST [10966] | Medcost | $3.98 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | MEDCOST [10966] | Medcost | $3.98 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | $4.00 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | United Healthcare | United Healthcare | $4.00 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Coventry | Coventry | $4.15 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $4.15 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $4.15 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Coventry | Coventry | $4.15 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $4.25 | $5.00 | $2.50 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Aetna | Aetna | $4.25 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $4.25 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | MULTIPLAN [10600] | Multiplan | $4.40 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PHCS [10601] | PHCS | $4.40 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PHCS [10601] | PHCS | $4.40 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | MULTIPLAN [10600] | Multiplan | $4.40 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | MULTIPLAN [10600] | Multiplan | $4.40 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PHCS [10601] | PHCS | $4.40 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross HMO | $4.43 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Non-Contracted | Non-Contracted | $4.50 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Rmsco | Rmsco | $4.50 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $4.65 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Tricare | Tricare | $5.00 | $5.00 | $2.50 | 2026-07-20 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | KAISER [10500] | Kaiser | $5.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PHCS [10601] | PHCS | $5.70 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PHCS [10601] | PHCS | $5.70 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PHCS [10601] | PHCS | $6.00 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PHCS [10601] | PHCS | $6.00 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PHCS [10601] | PHCS | $6.00 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PHCS [10601] | PHCS | $6.00 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PHCS [10601] | PHCS | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PHCS [10601] | PHCS | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | INDUSTRY BUYING GROUP [10840] | Industrial Buying Group | $6.50 | $10.00 | $3.00 | 2026-07-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $6.69 | $277.77 | — | 2026-08-17 | 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.