A9589 — Insti Hexaminolevulinate Hcl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insti hexaminolevulinate hcl (HCPCS A9589) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9589?code_type=HCPCS
MLA (9th ed.)
“Insti hexaminolevulinate hcl (HCPCS A9589) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9589?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Insti hexaminolevulinate hcl (HCPCS A9589) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9589?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,486–$4,002 (25th–75th percentile) across 1,293 hospitals · 2,221 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9589 — 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
$1,486
$2,460 typical
$4,002
The middle 50% of negotiated facility rates for this procedure, measured across 1,293 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,460 |
| Likely subtotal | $2,460 |
Facility charge (no separate professional fee)
$2,460
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 $1,486–$4,002.
- 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $2,843.88 | $1,421.94 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,843.88 | $1,421.94 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | 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 | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $6,659.13 | — | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | $1.00 | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | $1.00 | $11,638.90 | $8,729.18 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $16,084.00 | $12,063.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $16,084.00 | $12,063.00 | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $11,638.90 | $8,729.18 | 2025-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | $14,319.00 | $10,739.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | $14,502.00 | $10,876.50 | 2026-09-02 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $2.91 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $2.91 | — | — | 2025-12-27 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $3,125.00 | $1,218.75 | 2026-07-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | HPN | $10.07 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $11.04 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $11.85 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $12.75 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $12.75 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $12.75 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $12.75 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $12.75 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $12.75 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $12.75 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $12.75 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $13.13 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $13.13 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $13.13 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $13.13 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $13.13 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $13.26 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $13.38 | — | — | 2026-07-18 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $13.48 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $13.51 | — | — | 2026-07-18 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $14.13 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.32 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.32 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.32 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.39 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.39 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.39 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $14.39 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | HPN | $15.10 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $15.23 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $15.39 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $15.39 | — | — | 2026-07-31 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | Individual Family Plan | $15.68 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $16.56 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | CIGNA | Individual Family Plan | $17.30 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $17.77 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $18.33 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $18.33 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $18.33 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $18.92 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | QHP | $18.99 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AETNA | QHP | $19.05 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | Summacare | MEDICARE ADVANTAGE | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | MMO | Medicare Advantage HMO & PPO | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $19.44 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | HUMANA | Medicare Advantage HMO | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | UNITED | MEDICARE ADVANTAGE | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $19.44 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $19.44 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $19.44 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $19.52 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $19.80 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $20.47 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $20.74 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $20.74 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $20.74 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $20.74 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $20.74 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $21.19 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $21.19 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $21.19 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | All Products New Business | $21.19 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $21.27 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $21.27 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $21.27 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $21.38 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $21.47 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $21.48 | $97.20 | $63.18 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $21.68 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $21.68 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $21.88 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $21.88 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $21.88 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $21.90 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $21.90 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | Summacare | Preferred | $21.90 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $22.03 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | Aultcare | PPO/HMO | $22.03 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $22.10 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $22.10 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | Summacare | Preferred | $22.16 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | Summacare | Preferred | $22.16 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $22.20 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $22.30 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $22.30 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $22.52 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $22.63 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $22.63 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $22.63 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | Summacare | Preferred | $22.68 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | Summacare | Preferred | $22.68 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | Summacare | Preferred | $22.81 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $22.84 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL InpatientFacility | Summacare | Preferred | $22.87 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $22.92 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $23.06 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $23.06 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $23.39 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $23.39 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $23.39 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $23.71 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | Summacare | PREMIER | $23.78 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | Summacare | PREMIER | $24.11 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | Summacare | PREMIER | $24.17 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL BothFacility | AETNA | Acop | $24.36 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $24.42 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | Summacare | PREMIER | $24.69 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | Summacare | PREMIER | $24.69 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | Summacare | PREMIER | $24.82 | $64.80 | $42.12 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $24.90 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $24.90 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $24.90 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $24.92 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB InpatientFacility | OSCAR | ALL PRODUCTS | $24.92 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $24.92 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $24.92 | $64.80 | $42.12 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $24.92 | $64.80 | $42.12 | 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.