A9616 — Gallium Gozellix 1 Millicuri
Cite this view
HANK Price Transparency. (n.d.). Gallium gozellix 1 millicuri (HCPCS A9616) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9616?code_type=HCPCS
“Gallium gozellix 1 millicuri (HCPCS A9616) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9616?code_type=HCPCS. Accessed .
“Gallium gozellix 1 millicuri (HCPCS A9616) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9616?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,171–$2,210 (25th–75th percentile) across 426 hospitals · 654 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A9616 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $1.00 | $0.31 | 2026-04-24 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $146.41 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $146.41 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $146.41 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $146.41 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $147.82 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $160.15 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $194.48 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $198.94 | — | — | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $207.61 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $210.04 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE PREFERRED | $257.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE OPTIONS | $257.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS BLUECHOICE SELECT | $257.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE OPTIONS | $257.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE SELECT | $257.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS BLUECHOICE PREFERRED | $257.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $257.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $257.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $262.55 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | CDH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | KH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | GLOBAL EXCEL [1712] | KH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | GLOBAL EXCEL [1712] | CDH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | MRH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | MRH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | GLOBAL EXCEL [1712] | MRH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | DCH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $292.75 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $292.75 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $292.75 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $292.75 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $292.75 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $292.75 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | CDH AETNA NM EMPLOYEES | $331.90 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $345.83 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $345.83 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM BCBS EXCHANGE | $351.30 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM BCBS EXCHANGE | $351.30 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $371.36 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $371.36 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $371.36 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $378.32 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $385.29 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $397.39 | $2,350.00 | $1,316.00 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $397.39 | $2,350.00 | $1,316.00 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $401.38 | $2,350.00 | $1,316.00 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $403.26 | $2,350.00 | $1,316.00 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $405.38 | $2,350.00 | $1,316.00 | 2026-03-24 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | CDH BCBS PPO | $408.50 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH BCBS PPO | $408.50 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $409.85 | $1,171.00 | $761.15 | 2026-03-13 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $417.78 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Local Plus | $420.08 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | KH AETNA NM EMPLOYEES | $424.74 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $902.86 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $432.73 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS ILLINOIS [1210] | BC/BS OF ILLINOIS HMO-SSCD | $437.90 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS BLUE SHIELD IL [1030] | BC/BS OF ILLINOIS HMO-SSCD | $437.90 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS [1014] | BC/BS OF ILLINOIS HMO-SSCD | $437.90 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | VWH MEDICARE | $440.99 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $440.99 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $440.99 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $443.99 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $443.99 | $2,124.36 | $902.86 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $443.99 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $443.99 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $445.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $445.63 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $452.06 | $2,124.36 | $902.86 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $452.06 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $452.06 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $452.06 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $460.99 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | CDH DUPAGE MEDICAL GROUP | $464.20 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | CDH DUPAGE MEDICAL GROUP | $464.20 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $469.27 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $484.74 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $488.61 | $1,375.10 | $687.55 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Tricare | Tricare | $488.61 | $1,375.10 | $687.55 | 2025-12-31 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $491.82 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $491.82 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $495.04 | $2,210.00 | $2,210.00 | 2026-03-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $499.02 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS BLUE SHIELD IL [1030] | BC/BS OF ILLINOIS PPO-SSCD | $504.82 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS OUT OF STATE [1211] | BC/BS OF ILLINOIS PPO-SSCD | $504.82 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | ALT PAYER ILLINOIS BLUE CROSS [121002] | BC/BS OF ILLINOIS PPO-SSCD | $504.82 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS ILLINOIS [1210] | BC/BS OF ILLINOIS PPO-SSCD | $504.82 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS [1014] | BC/BS OF ILLINOIS PPO-SSCD | $504.82 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | ALT PAYER INDIANA BLUE CROSS [121003] | BC/BS OF ILLINOIS PPO-SSCD | $504.82 | $2,276.00 | $505.27 | 2026-01-01 | MRF ↗ |
| MCLAREN BAY REGION Both | Detroit Medical Center | Detroit Medical Center | $507.41 | $1,375.10 | $687.55 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Detroit Medical Center | Detroit Medical Center | $507.41 | $1,375.10 | $687.55 | 2025-12-31 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | UCare | PMAP | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Health Partners | Medicare Cost | $524.72 | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | CIGNA ONE HEALTH | CIGNA ONE HEALTH | $527.64 | $2,549.00 | $1,274.50 | 2026-05-07 | MRF ↗ |
| COPLEY MEMORIAL HOSPITAL Outpatient | CIGNA ONE HEALTH | CIGNA ONE HEALTH | $527.64 | $2,549.00 | $1,274.50 | 2026-05-07 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | Health Partners | PMAP | $534.06 | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $534.13 | $3,513.99 | $3,513.99 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $538.71 | $4,862.00 | $4,862.00 | 2026-05-15 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $540.79 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $540.79 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $543.11 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $543.11 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $543.11 | $2,321.00 | $1,624.70 | 2026-04-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Health Partners | State Employees | $555.43 | $1,658.00 | $1,326.40 | 2026-03-04 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $557.42 | $2,350.00 | $1,245.50 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $557.42 | $2,350.00 | $1,245.50 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $557.42 | $2,350.00 | $1,245.50 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $557.42 | $2,350.00 | $1,245.50 | 2026-03-24 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $902.86 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $902.86 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $851.87 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $562.96 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $562.96 | $2,124.36 | $851.87 | 2026-02-06 | MRF ↗ |
| Vidant Beaufort Hospital Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $563.06 | $2,350.00 | $1,245.50 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $563.06 | $2,350.00 | $1,245.50 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | WELLCARE [1320] | WELLCARE [380] | $565.88 | $2,350.00 | $1,245.50 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | WELLCARE [1320] | WELLCARE [380] | $565.88 | $2,350.00 | $1,245.50 | 2026-03-24 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Medicaid | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | WellCare | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Medicare | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Commercial | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Medica | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Primewest | Managed Medicaid | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Security Health Plan | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | South Country Health Alliance | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Individual and Family with M Health Fairview | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Individual and Family | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Blue Cross of Minnesota | Managed Medicaid | $568.05 | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Itasca Medical Care | Managed Medicaid | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Primewest | MSHO | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | South Country Health Alliance | PMAP | — | $2,124.36 | $851.87 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Medicare Advantage/MSHO | — | $2,124.36 | $851.87 | 2026-01-29 | 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.