A9588 — Fluciclovine F-18
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Fluciclovine f-18 (HCPCS A9588) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9588?code_type=HCPCS
MLA (9th ed.)
“Fluciclovine f-18 (HCPCS A9588) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9588?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Fluciclovine f-18 (HCPCS A9588) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9588?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $338–$1,950 (25th–75th percentile) across 1,353 hospitals · 3,013 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9588 — 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
$338
$738 typical
$1,950
The middle 50% of negotiated facility rates for this procedure, measured across 1,353 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $738 |
| Likely subtotal | $738 |
Facility charge (no separate professional fee)
$738
- 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 |
|---|---|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA GWH PPO [110715018] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,017.78 | $865.11 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA BH DUKE EMP [110715005] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | NALC HEALTH BENEFIT PLAN [1001268] | NALC HEALTH BENEFIT PLAN [100126801] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA PPN POS PPO PLUS [110715013] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS POS [110715011] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $2,714.08 | $1,899.86 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA OUT OF NETWORK [110715006] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA UNASSIGNED [110715003] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS PPO [110715012] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA GWH POS [110715017] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA NETWORK PPO [110715010] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OUT OF NETWORK [110715006] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA PPN POS PPO PLUS [110715013] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA GWH HMO [110715016] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,017.78 | $865.11 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA BH DUKE EMP [110715005] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS PPO [110715012] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA GWH HMO [110715016] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA GWH POS [110715017] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA SHARED ADMINISTRATION [110715009] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | TROY | TROY MEDICARE ADVANTAGE | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA UNASSIGNED [110715003] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,017.78 | $559.78 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | AETNA | AETNA WHOLE HEALTH SELF INSURED | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA PPN POS PPO PLUS [110715013] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA CONNECT IFP [110715024] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS HMO [110715008] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA PPN POS PPO PLUS [110715013] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | MAIL HANDLERS [1001414] | MAIL HANDLERS BENEFIT PLAN [100141401] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA BH DUKE EMP [110715005] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA | AETNA PPO | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA GWH PPO [110715018] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS POS [110715011] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA CONNECT IFP [110715024] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,017.78 | $559.78 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA INTERNATIONAL [110715007] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS HMO [110715008] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | GOLDEN RULE INSURANCE COMPANY [1001209] | GOLDEN RULE INSURANCE COMPANY [100120901] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS PPO [110715012] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA NETWORK [110715022] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA NETWORK PPO [110715010] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA NETWORK [110715022] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA SHARED ADMINISTRATION [110715009] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA INTERNATIONAL [110715007] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UMR [1107154] | UMR QUANTUM HEALTH [110715402] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA NETWORK PPO [110715010] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,017.78 | $865.11 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA OTHER [110715015] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA INDEMNITY [110715014] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA GWH POS [110715017] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,696.30 | $932.97 | 2025-01-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA INDEMNITY [110715014] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS HMO [110715008] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OTHER [110715015] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $455,729.00 | $227,864.50 | 2024-12-15 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA UNASSIGNED [110715003] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA BH DUKE EMP [110715005] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | VA MEDICAID | VA MEDICAID | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA GWH HMO [110715016] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA GWH HMO [110715016] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | TROY | TROY MEDICARE ADVANTAGE | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | MAIL HANDLERS [1001414] | MAIL HANDLERS BENEFIT PLAN [100141401] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UMR [1107154] | UMR QUANTUM HEALTH [110715402] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,017.78 | $559.78 | 2025-01-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA UNASSIGNED [110715003] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | NALC HEALTH BENEFIT PLAN [1001268] | NALC HEALTH BENEFIT PLAN [100126801] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS HMO [110715008] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA CONNECT IFP [110715024] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | AETNA | AETNA PPO | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | VA MEDICAID | VA MEDICAID | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $2,714.08 | $1,899.86 | 2025-01-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | AETNA | AETNA WHOLE HEALTH SELF INSURED | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | GOLDEN RULE INSURANCE COMPANY [1001209] | GOLDEN RULE INSURANCE COMPANY [100120901] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UMR [1107154] | UMR QUANTUM HEALTH [110715402] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA SHARED ADMINISTRATION [110715009] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA CONNECT IFP [110715024] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA INDEMNITY [110715014] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | MAIL HANDLERS [1001414] | MAIL HANDLERS BENEFIT PLAN [100141401] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | MAIL HANDLERS [1001414] | MAIL HANDLERS BENEFIT PLAN [100141401] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS PPO [110715012] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | GOLDEN RULE INSURANCE COMPANY [1001209] | GOLDEN RULE INSURANCE COMPANY [100120901] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA GWH PPO [110715018] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA INTERNATIONAL [110715007] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OTHER [110715015] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS POS [110715011] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OUT OF NETWORK [110715006] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA GWH POS [110715017] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA INTERNATIONAL [110715007] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA NETWORK PPO [110715010] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA GWH PPO [110715018] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,696.30 | $932.97 | 2025-01-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA OTHER [110715015] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA SHARED ADMINISTRATION [110715009] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $455,729.00 | $227,864.50 | 2024-12-15 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA INDEMNITY [110715014] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS POS [110715011] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | GOLDEN RULE INSURANCE COMPANY [1001209] | GOLDEN RULE INSURANCE COMPANY [100120901] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UMR [1107154] | UMR QUANTUM HEALTH [110715402] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA OUT OF NETWORK [110715006] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | CIGNA [1107150] | CIGNA NETWORK [110715022] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA [1107150] | CIGNA NETWORK [110715022] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $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 ↗ |
| ESSENTIA HEALTH DULUTH 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 ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $1,200.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $1,200.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $1,200.00 | — | 2025-06-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.19 | $1,214.00 | — | 2024-12-31 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $2.21 | $1,011.00 | $505.50 | 2026-04-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.94 | $1,066.00 | $1,012.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.94 | $1,066.00 | $1,012.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.94 | $1,066.00 | $1,012.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.05 | $1,066.00 | $1,012.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.16 | $1,066.00 | $1,012.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.26 | $1,066.00 | $1,012.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.34 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.43 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.52 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.61 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.70 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.88 | $904.00 | $858.80 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Prospect Health Plan, Inc. | Medi-Cal | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | $11.97 | $12,400.00 | $6,534.80 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL BothFacility | BLUE CROSS [1021] | NMH BCBS FEDERAL | $12.00 | $12,400.00 | $6,534.80 | 2026-04-30 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | $12.00 | $12,400.00 | $6,534.80 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL BothFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $12.22 | $12,400.00 | $6,534.80 | 2026-04-30 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL BothFacility | BLUE CROSS [1021] | NMH BCBS AWARE | $12.22 | $12,400.00 | $6,534.80 | 2026-04-30 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | $12.22 | $12,400.00 | $6,534.80 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Outpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | $12.22 | $12,400.00 | $6,534.80 | 2024-12-31 | 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 | $1,696.30 | $1,102.60 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,696.30 | $1,102.60 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $850.00 | $637.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $850.00 | $637.50 | 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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $43.67 | $638.44 | $191.53 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $43.67 | $638.44 | $191.53 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $43.67 | $638.44 | $191.53 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $43.67 | $638.44 | $191.53 | 2026-04-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $46.17 | $740.00 | — | 2026-03-31 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $48.33 | $317.95 | $317.95 | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $850.00 | $637.50 | 2024-12-08 | 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.