Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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A9592 — Copper Cu 64 Dotatate Diag

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,695

Usually $727–$4,440 (25th–75th percentile) across 1,307 hospitals · 3,077 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9592 — 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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$727 $1,695 typical $4,440

The middle 50% of negotiated facility rates for this procedure, measured across 1,307 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $1,695
Likely subtotal $1,695
Facility charge (no separate professional fee) $1,695
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $168,481.00 $84,240.50 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $168,481.00 $84,240.50 2024-12-15 MRF ↗
ESSENTIA HEALTH OutpatientFacility BCBS PLUS PMAP PCC PRIME Medicaid $1.00 2026-01-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $3,322.00 $2,724.04 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $3,322.00 $2,724.04 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $3,322.00 $2,724.04 2025-11-26 MRF ↗
ESSENTIA HEALTH OutpatientFacility MN BCBS Commercial BCBS MN $1.00 2026-01-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $3,322.00 $2,724.04 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO $3,322.00 $2,724.04 2025-11-26 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 ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $3,322.00 $2,724.04 2025-11-26 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP Self Insured $2.10 $3,113.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility HAP Self Insured $2.10 $3,113.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility HAP Self Insured $2.10 $3,113.00 2025-06-28 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $7.58 $2,049.30 $1,946.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $7.58 $2,049.30 $1,946.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $7.58 $2,049.30 $1,946.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $7.79 $2,049.30 $1,946.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $7.99 $2,049.30 $1,946.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $8.20 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $9.84 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $9.84 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $10.04 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $10.04 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $10.04 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $10.04 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $10.25 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $10.45 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $10.66 $2,049.30 $1,946.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $11.07 $2,049.30 $1,946.84 2026-02-20 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-BH $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-ALLEG $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-ALLEG $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-PPO $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-BH $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-PPO $28.25 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL $28.25 $113.00 $113.00 2026-03-27 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 BCBSSCBlueChoice $33.10 $1,685.00 $1,263.75 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 $1,685.00 $1,263.75 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient Humana Commercial|All Plans $39.75 $53.00 $53.00 2026-02-28 MRF ↗
CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient Multiplan Commercial|All Plans $42.40 $53.00 $53.00 2026-02-28 MRF ↗
CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient Aetna Commercial|PPO $42.40 $53.00 $53.00 2026-02-28 MRF ↗
CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient Aetna Commercial|HMO $42.40 $53.00 $53.00 2026-02-28 MRF ↗
CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient Aetna Commercial|All Other Plans $42.40 $53.00 $53.00 2026-02-28 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 $1,685.00 $1,263.75 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HELEN KELLER HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHPPO $50.85 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHHMO $50.85 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHHMO $50.85 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both UNITED HEALTHCARE UNITED COMMERCIAL $50.85 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both UNITED HEALTHCARE UNITED COMMERCIAL $50.85 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHPPO $50.85 $113.00 $113.00 2026-03-27 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $56.32 2026-03-18 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) POS $3,322.00 $2,724.04 2025-11-26 MRF ↗
HELEN KELLER HOSPITAL Both VIVA VIVA HEALTH $84.75 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both VIVA VIVA HEALTH $84.75 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both AETNA AETNA COMMERCIAL $88.14 $113.00 $113.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both AETNA AETNA COMMERCIAL $88.14 $113.00 $113.00 2026-03-27 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Aetna AetnaMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Amerihealth BlueCrossCompleteMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Aetna AetnaMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Americas Choice Provider Network AmericasChoiceProviderNetworkWC 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Mclaren Health Plan McLarenMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Priority Health PriorityHealthMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap MidwestMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient BCBS-MI BCBSMICommercial 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Corvel CorvelWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient Molina Healthcare Of Texas (Claims Only) MolinaHIX 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient United Healthcare UnitedMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Centene CenteneHNWellcareMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Humana HumanaMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPHPICigna 2025-01-31 MRF ↗
Harper University Hospital Outpatient Humana HumanaMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient BCBS-MI BCBSMIMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Molina Healthcare Of Texas (Claims Only) MolinaHIX 2025-01-31 MRF ↗
Harper University Hospital Outpatient Naphcare Inc. NaphCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient United Healthcare UnitedCommunityPlanMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Mclaren Health Plan McLarenMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Prime Health Services PrimeHealthServicesMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Mclaren Health Plan McLarenAdvantagePPO 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient BCBS-MI BCBSMIBCNMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Oscar Health OscarHealthPlanHIX 2025-01-31 MRF ↗
Harper University Hospital Outpatient BCBS-MI BCBSMIBCNMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Aetna AetnaMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Hap HAPMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Aetna AetnaMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Corvel CorvelWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient Hap MidwestMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Mclaren Health Plan McLarenAdvantagePPO 2025-01-31 MRF ↗
Harper University Hospital Outpatient Enlyte/Genex/Coventry CoventryAKAGenexWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient Hap HAPHMO $93.00 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Mclaren Health Plan McLarenMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Molina Healthcare Of Texas (Claims Only) MolinaMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Prime Health Services PrimeHealthServicesWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient Mclaren Health Plan McLarenCommercial 2025-01-31 MRF ↗
Harper University Hospital Outpatient Mclaren Health Plan McLarenMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Multiplan MultiplanWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient United Healthcare UnitedMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Mclaren Health Plan McLarenCommercial 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Naphcare Inc. NaphCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Employers Choice Network EmployersChoiceNetworkWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient Wellcare MeridianMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient United Healthcare HealthSmartMgdWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient Aetna AetnaExistingBusiness 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPHMO $93.00 2025-01-31 MRF ↗
Harper University Hospital Outpatient Provider Partners Health Plan ProviderPartnersHealthPlanMedicareAdvantage 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Molina Healthcare Of Texas (Claims Only) MolinaMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Multiplan MultiplanWC 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Humana HumanaCommercial 2025-01-31 MRF ↗
Harper University Hospital Outpatient Humana HumanaCommercial 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Zing Health ZingHealthMedicareNonNarrow 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Amerihealth AmerihealthCaritasMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Aetna AetnaExistingBusiness 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Centene CenteneHNWellcareMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Centene AmbetterHIX 2025-01-31 MRF ↗
Harper University Hospital Outpatient Longevity Health Plan LongevityHealthPlan 2025-01-31 MRF ↗
Harper University Hospital Outpatient Hap HAPHPICigna 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Priority Health PriorityHealthCigna 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient American Health Plan AmericanHealthPlanMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Oscar Health OscarHealthPlanHIX 2025-01-31 MRF ↗
Harper University Hospital Outpatient Community Care CommunityCareComm 2025-01-31 MRF ↗
Harper University Hospital Outpatient Zing Health ZingHealthMedicareNonNarrow 2025-01-31 MRF ↗
Harper University Hospital Outpatient Molina Healthcare Of Texas (Claims Only) MolinaMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Priority Health PriorityHealthMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Point Comfort Underwriters PointComfortUnderwriters 2025-01-31 MRF ↗
Harper University Hospital Outpatient Molina Healthcare Of Texas (Claims Only) MolinaMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Prime Health Services PrimeHealthServicesWC 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Wellcare MeridianMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Priority Health PriorityHealthSEMIPartnersNet 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Priority Health PriorityHealthCommercial 2025-01-31 MRF ↗
Harper University Hospital Outpatient Amerihealth BlueCrossCompleteMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Centene AmbetterHIX 2025-01-31 MRF ↗
Harper University Hospital Outpatient American Health Plan AmericanHealthPlanMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Priority Health PriorityHealthCommercial 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Priority Health PriorityHealthSBDHMOPPO 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Priority Health PriorityHealthSEMIPartnersNet 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Priority Health PriorityHealthMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Employers Choice Network EmployersChoiceNetworkWC 2025-01-31 MRF ↗
Harper University Hospital Outpatient AllyAlign Health AllyAlignHealthMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Priority Health PriorityHealthSBDHMOPPO 2025-01-31 MRF ↗
Harper University Hospital Outpatient United Healthcare UnitedCommunityPlanMgdMCaid 2025-01-31 MRF ↗
Harper University Hospital Outpatient Commonwealth Care Alliance CommonwealthCareAllianceMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Amerihealth AmerihealthCaritasMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Community Care CommunityCareComm 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Enlyte/Genex/Coventry CoventryAKAGenexWC 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Wellcare CenteneHNWellcareMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Priority Health PriorityHealthCigna 2025-01-31 MRF ↗
Harper University Hospital Outpatient Priority Health PriorityHealthMgdMCaid 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Commonwealth Care Alliance CommonwealthCareAllianceMgdMCare 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient BCBS-MI BCBSMICommercial 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Longevity Health Plan LongevityHealthPlan 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Americas Choice Provider Network AmericasChoiceProviderNetworkWC 2025-01-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient BCBS-MI BCBSMIMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Wellcare CenteneHNWellcareMgdMCare 2025-01-31 MRF ↗
Harper University Hospital Outpatient Prime Health Services PrimeHealthServicesMgdMCare 2025-01-31 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Law Enforcement Franklin Co. Medicaid $98.80 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Law Enforcement Franklin Co. Medicaid $98.80 2025-01-01 MRF ↗
MARYMOUNT HOSPITAL OutpatientFacility OPTUM Managed Medicaid Transplant $98.92 2025-06-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
Baylor St Lukes Medical Center Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
St. Luke's Health - Springwoods Village Hospital Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
St. Luke's Health - Springwoods Village Hospital Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
Baylor St Lukes Medical Center Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S THE WOODLANDS HOSPITAL Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
St. Luke's Health - Springwoods Village Hospital Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient Cigna Commercial|PPO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
CHI ST LUKES LAKESIDE HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S SUGAR LAND HOSPITAL Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient Cigna Commercial|HMO $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
Baylor St Lukes Medical Center Outpatient Cigna Commercial|Surefit $100.00 $2,745.00 $960.75 2026-02-28 MRF ↗
LUTHERAN HOSPITAL OutpatientFacility OPTUM Managed Medicaid Transplant $100.19 2025-06-28 MRF ↗
MACNEAL HOSPITAL OutpatientFacility BCBS IL PPO $102.36 2026-03-31 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility UHC Medicaid $102.75 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility UHC Medicaid $102.75 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Anthem Medicaid $103.74 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Anthem Medicaid $103.74 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Molina Medicaid $103.74 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Molina Medicaid $103.74 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Humana Medicaid $104.73 2025-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Summacare MEDICARE ADVANTAGE $104.73 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.