Price Transparencybeta 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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A9595 — Piflu F-18, Dia 1 Millicurie

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 $909

Usually $452–$3,185 (25th–75th percentile) across 1,748 hospitals · 3,697 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9595 — 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
$452 $909 typical $3,185

The middle 50% of negotiated facility rates for this procedure, measured across 1,748 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $909
Likely subtotal $909
Facility charge (no separate professional fee) $909

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 $452–$3,185.

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 — — — $470,574.06 $235,287.03 2024-12-15 MRF ↗
ST JOHNS HOSPITAL Both BLUE CROSS BLUE SHIELD OF ILLINOIS BLUE CROSS BLUE SHIELD IL HMO 470 — $0.01 $0.01 2026-03-24 MRF ↗
ST JOHNS HOSPITAL Both BLUE CROSS BLUE SHIELD OF ILLINOIS BCBS OF ILLINOIS PPO — $0.01 $0.01 2026-03-24 MRF ↗
ST JOHNS HOSPITAL Both BLUE CROSS BLUE SHIELD OF ILLINOIS BLUE CROSS BLUE SHIELD IL HMO — $0.01 $0.01 2026-03-24 MRF ↗
ST JOHNS HOSPITAL Both BLUE CROSS BLUE SHIELD OF ILLINOIS BCBS IL BLUE CHOICE PLANS — $0.01 $0.01 2026-03-24 MRF ↗
ST JOHNS HOSPITAL Both BLUE CROSS BLUE SHIELD OF ILLINOIS BCBS IL HMO PHAI — $0.01 $0.01 2026-03-24 MRF ↗
ST JOHNS HOSPITAL Both BLUE CROSS SIHCA BLUE CROSS BLUE SHIELD IL HMO SIHCA — $0.01 $0.01 2026-03-24 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $470,574.06 $235,287.03 2024-12-15 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility VNA Homecare Options Medicaid — $15,793.20 $13,424.22 2025-01-01 MRF ↗
ELLIS HOSPITAL Outpatient Mvp Mvp Commercial/Select $0.21 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient Cigna Mvp Commercial/Select $0.21 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient Pomco Pomco $0.78 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient Ghi Ghi $0.80 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient United Healthcare United Healthcare $0.80 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient Coventry Coventry $0.83 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient Aetna Aetna $0.83 $1.00 $0.50 2026-07-15 MRF ↗
ELLIS HOSPITAL Outpatient Rmsco Rmsco $0.85 $1.00 $0.50 2026-07-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient CORVEL HEALTHCARE CORPORATION Worker's Compensation — $1.01 $0.65 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $1,794.00 $1,471.08 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $1,794.00 $1,471.08 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $1,794.00 $1,471.08 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $1,794.00 $1,471.08 2025-11-26 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 ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 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 ↗
COX MEDICAL CENTERS Outpatient Bjc Health Solutions Commercial $1.00 $1.00 $0.25 2026-07-15 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $1,794.00 $1,471.08 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW MEXICO MEDICAID $1.00 — — 2026-09-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $3,655.88 $1,827.94 2026-07-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO — $1,794.00 $1,471.08 2025-11-26 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW MEXICO MEDICAID $1.00 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $1.01 $0.65 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $3,655.88 $1,827.94 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $3,655.88 $1,827.94 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $3,655.88 $1,827.94 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $3,655.88 $1,827.94 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $3,655.88 $1,827.94 2026-07-01 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP Self Insured $2.10 $1,741.00 — 2025-06-28 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $3,655.88 $1,827.94 2026-07-01 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $3.15 $1,751.17 $332.44 2025-12-31 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $3.15 $1,751.17 $332.44 2025-12-31 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $3.15 $1,751.17 $580.35 2024-12-31 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $4.03 $1,089.74 $1,035.25 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.03 $1,089.74 $1,035.25 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.03 $1,089.74 $1,035.25 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $4.14 $1,089.74 $1,035.25 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $4.25 $1,089.74 $1,035.25 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $4.36 $1,089.74 $1,035.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.34 $1,089.74 $1,035.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.34 $1,089.74 $1,035.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.45 $1,089.74 $1,035.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $5.67 $1,089.74 $1,035.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $5.88 $1,089.74 $1,035.25 2026-02-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Prospect Health Plan, Inc. Medi-Cal — $1.01 $0.65 2025-11-26 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $12.24 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $12.24 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $12.24 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $14.03 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $14.03 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $14.03 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $15.28 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $15.28 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $15.28 — — 2026-03-18 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $15,793.20 $10,265.58 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $15,793.20 $10,265.58 2025-01-01 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-08-01 MRF ↗
Baycare Alliant Hospital Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Clear Health Alliance Medicaid Hmo $27.39 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
Baycare Alliant Hospital Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-08-01 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient United Healthcare Medicaid Hmo $27.66 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-08-01 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
Baycare Alliant Hospital Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Humana Medicaid Hmo $28.20 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
Baycare Alliant Hospital Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-08-01 MRF ↗
Baycare Alliant Hospital Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-08-01 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-08-01 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-08-01 MRF ↗
Winter Haven Women's Hospital Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
Baycare Alliant Hospital Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
Baycare Alliant Hospital Outpatient Sunshine Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Freedom Health Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Simply Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Molina Healthcare Medicaid Hmo $28.48 — — 2026-07-15 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 — — 2024-12-08 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-08-01 MRF ↗
Baycare Alliant Hospital Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Aetna Medicaid Hmo $29.02 — — 2026-07-15 MRF ↗
MEASE COUNTRYSIDE HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
BARTOW REGIONAL MEDICAL CENTER Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
Baycare Alliant Hospital Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
MORTON PLANT NORTH BAY HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
BAYCARE HOSPITAL WESLEY CHAPEL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
ST JOSEPHS HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
MORTON PLANT HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
Winter Haven Women's Hospital Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
ST ANTHONYS HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-08-01 MRF ↗
SOUTH FLORIDA BAPTIST HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 MRF ↗
MEASE DUNEDIN HOSPITAL Outpatient Florida Community Care Medicaid Hmo $29.83 — — 2026-07-15 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 $906.00 $679.50 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $906.00 $679.50 2024-12-08 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $33.22 — — 2026-03-18 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 ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral — — — 2026-07-19 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $47.71 $734.00 $477.10 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-04 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-10 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $47.71 $734.00 $477.10 2026-06-10 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $47.71 $734.00 $477.10 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-04 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-10 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-04 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $47.71 $734.00 $477.10 2026-06-10 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage — $49.00 $0.01 $0.01 2026-08-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 — — 2024-12-08 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Golden Rule Ins — — — 2026-07-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Medica — — — 2026-07-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare All Savers Alternative Funding — — — 2026-07-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Surest — — — 2026-07-14 MRF ↗

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