A9590 — Iodine I-131 Iobenguane 1mci
Cite this view
HANK Price Transparency. (n.d.). Iodine i-131 iobenguane 1mci (HCPCS A9590) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9590?code_type=HCPCS
“Iodine i-131 iobenguane 1mci (HCPCS A9590) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9590?code_type=HCPCS. Accessed .
“Iodine i-131 iobenguane 1mci (HCPCS A9590) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9590?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $319–$800 (25th–75th percentile) across 1,023 hospitals · 1,030 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9590 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 1,023 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $477 |
| Likely subtotal | $477 |
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 $319–$800.
- 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 |
|---|---|---|---|---|---|---|---|
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $0.05 | — | — | 2025-11-10 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON | HNJH_YOUTH-YOUNG ADULT | $0.05 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | HNJH | $0.05 | — | — | 2025-12-29 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | 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 TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $3.19 | — | — | 2026-08-19 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $3.60 | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | SelectHealth | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare-Medicaid Coordinated Plan | $4.46 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | TriWest | Tricare for Life | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Voyager | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | American Health Plan of Utah | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | TriWest | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina | Medicaid | $4.46 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | VACCN | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | St Lukes Health Partners Network | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | MODA Health Plan | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence BlueShield of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicaid Plus | $4.46 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Integrated Health Plan | Commercial (All Contracted Plans) | $5.40 | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Colorado Access | CHP+ | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Evernorth Behavioral Health | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | United Healthcare | Commercial (Select CO) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Aetna Better Health of Kansas | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $5.40 | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $36.03 | $23.42 | 2026-04-17 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $5.76 | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $5.76 | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $5.76 | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $5.76 | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $5.87 | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $5.87 | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $5.87 | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $5.87 | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $5.98 | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $6.09 | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $6.38 | — | — | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.38 | — | — | 2026-03-01 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Wellpoint | All Plans | $6.38 | — | — | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Magellan | Managed Medicaid | $6.38 | — | — | 2026-03-27 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Molina | MCD | $6.38 | — | — | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.38 | — | — | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.38 | — | — | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.38 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | South Country Health Alliance | PMAP | $6.50 | $27.57 | $11.39 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Primewest | Managed Medicaid | $6.50 | $27.57 | $11.39 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Itasca Medical Care | Managed Medicaid | $6.50 | $27.57 | $11.39 | 2025-02-10 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | UCare | PMAP | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Health Partners | Medicare Cost | $6.81 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Health Partners | PMAP | $6.93 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Hennepin Health | PMAP | $7.02 | $27.57 | $11.39 | 2025-02-10 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.23 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.23 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.23 | — | — | 2026-03-18 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Medicaid | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Itasca Medical Care | Managed Medicaid | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Hennepin Health | PMAP | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | South Country Health Alliance | PMAP | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Blue Cross of Minnesota | Managed Medicaid | $7.37 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Security Health Plan | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | South Country Health Alliance | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Medica | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Primewest | Managed Medicaid | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Medicare Advantage/MSHO | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Primewest | MSHO | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Individual and Family with M Health Fairview | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | United Healthcare | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Medicare | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | WellCare | Medicare Advantage | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Commercial | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Individual and Family | — | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Blue Cross of Minnesota | Managed Medicaid | $7.60 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $7.91 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | Medicare Cost | $7.91 | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | PMAP | $8.06 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | PMAP | $8.06 | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $8.29 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $8.29 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $8.29 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care Star MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care Star MCD | $8.91 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.03 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.03 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.03 | — | — | 2026-03-18 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | Medicare Cost | $9.10 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | PMAP | $9.26 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Medica | Managed Medicaid | $9.51 | $27.57 | $11.72 | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid | $9.51 | $27.57 | $11.72 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Medica | Minnesota Care/AccessAbility/Choice Care Government | $9.76 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Medica | Minnesota Care/AccessAbility/Choice Care Government | $9.82 | $27.57 | $11.06 | 2026-01-29 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $9.90 | $33.00 | $22.11 | 2026-03-05 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Medica | AccessAbility | $10.40 | $27.57 | $11.72 | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Medica | AccessAbility | $10.40 | $27.57 | $11.72 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | South Country Health Alliance | PMAP | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Primewest | MSHO | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Primewest | Managed Medicaid | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Primewest | Managed Medicaid | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Medica | Medicare Advantage Non-SNP | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Individual and Family Business Except ACO | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | UCare | PMAP | — | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Primewest | MSHO | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Interlink | Transplant | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | Hennepin Health | PMAP | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | Hennepin Health | PMAP | — | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | Health Partners | Medicare Advantage | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | South Country Health Alliance | PMAP | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | UCare | Medicare Advantage/MSHO | — | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | UCare | Medicare Advantage/MSHO | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Medica | MSHO/Medicare Advantage SNP | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | UCare | Individual and Family | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | Blue Cross of Minnesota | Aware Federal | — | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Medica | Bold | — | $27.57 | $11.06 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | UCare | Individual and Family with M Health Fairview | — | $27.57 | $11.72 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | UCare | PMAP | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | Health Partners | Federal | — | $27.57 | $11.06 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | Medica | Bold | — | $27.57 | $11.72 | 2026-02-06 | 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.