Q9969 — Non-heu Tc-99m Add-on/dose
Cite this view
HANK Price Transparency. (n.d.). NON-HEU TC-99M ADD-ON/DOSE (HCPCS Q9969) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q9969?code_type=HCPCS
“NON-HEU TC-99M ADD-ON/DOSE (HCPCS Q9969) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q9969?code_type=HCPCS. Accessed .
“NON-HEU TC-99M ADD-ON/DOSE (HCPCS Q9969) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q9969?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$15 (25th–75th percentile) across 1,448 hospitals · 2,302 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q9969 — 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 1,448 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $10 |
| Likely subtotal | $10 |
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 $7–$15.
- 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $11.83 | $6.51 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $7.10 | $6.04 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $7.10 | $6.04 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $7.10 | $6.04 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7.10 | $3.91 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $18.92 | $13.24 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $11.83 | $6.51 | 2025-01-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | Medicare Advantage | — | $1.01 | $0.66 | 2025-11-26 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | $0.10 | $1.00 | $0.20 | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $0.11 | $10.83 | $8.12 | 2026-11-03 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Harvard Pilgrim | Ppo | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Gic Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Fully Insured Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Fully Insured Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL BothFacility | Molina | Medicaid | $0.13 | $1.00 | $18.75 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL BothFacility | Select Health | Medicaid | $0.13 | $1.00 | $18.75 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL BothFacility | Absolute Total Care | Medicaid | $0.13 | $1.00 | $18.75 | 2026-03-10 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Harvard Pilgrim | Hmo/Pos | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhps | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Gic Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo - Dhpn | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Harvard Pilgrim | Elevate Health Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care | CommercialAllPlans | $0.13 | — | — | 2025-04-16 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Fully Insured Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo - Dhps | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $0.13 | — | — | 2026-05-23 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $0.13 | $1.00 | $0.20 | 2026-07-15 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care | CommercialAllPlans | $0.13 | — | — | 2025-04-16 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | HARVARD PILGRIM HEALTHCARE | HARVARD PILGRIM HEALTH CARE | $0.13 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL BothFacility | Humana | Medicaid | $0.13 | $1.00 | $18.75 | 2026-03-10 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Harvard Pilgrim | Elevate Health - Individual Exchange | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhpn | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Gic Other Commercial Plan | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Harvard Pilgrim Health Care | CommercialAllPlans | $0.13 | — | — | 2025-04-16 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhps | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $0.13 | $10.83 | $8.12 | 2026-11-02 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $0.13 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhps | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Harvard Pilgrim Healthcare | Commercial | $0.13 | — | — | 2025-09-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth - Dhpn | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL OutpatientFacility | Harvard PIlgrim HealthCare | All Plans | $0.13 | — | — | 2026-01-28 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Harvard Pilgrim Health Care | CommercialAllPlans | $0.13 | — | — | 2025-04-16 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Harvard Pilgrim Healthcare | Maine's Choice | $0.13 | — | — | 2025-09-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhpn | $0.13 | — | — | 2026-07-18 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $0.13 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL BothFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.14 | $1.00 | $18.75 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL BothFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.14 | $1.00 | $18.75 | 2026-03-10 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $0.14 | $1.00 | $0.20 | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $0.14 | $10.83 | $8.12 | 2026-08-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Aetna | MCR | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.15 | $10.83 | $8.12 | 2026-08-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $0.15 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Imperial NV | MCR | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Imperial NV | MCR | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Imperial NV | MCR | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.16 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| GRAHAM HOSPITAL ASSOCIATION | Uhc-Medicare | — | $0.16 | $1.06 | — | 2026-07-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.16 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem Hmo | $0.16 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem Ppo | $0.16 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER BothFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.16 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER BothFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.16 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.16 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.16 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.17 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.17 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.17 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| GRAHAM HOSPITAL ASSOCIATION | Humana-Medicare | — | $0.17 | $1.06 | — | 2026-07-31 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem Hmo | $0.17 | $1.00 | $0.65 | 2026-07-15 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Outpatient | Aetna Health | Aetna Medicare | $0.17 | $1.00 | $0.65 | 2026-07-15 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem Ppo | $0.17 | $1.00 | $0.65 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Nc Dept Of Public Safety | — | $0.17 | $1.00 | $0.20 | 2026-07-15 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | INDIVIDUAL | $0.17 | — | — | 2025-11-01 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Medicare] | $0.18 | $1.00 | $0.33 | 2026-07-18 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Medicare Hmo 103 | Medicare Hmo 103 | $0.18 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.18 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $0.18 | — | — | 2026-07-18 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.18 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.18 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Molina | HIX | $0.18 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $0.18 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Molina | HIX | $0.18 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $0.18 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.18 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| GRAHAM HOSPITAL ASSOCIATION | Aetna Coventry Managed Medicare | — | $0.18 | $1.06 | — | 2026-07-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | Select Health | Medicaid | $0.19 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $0.19 | — | — | 2026-07-18 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Outpatient | Aetna Health | Aetna Medicare | $0.19 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Outpatient | Veterans Affairs | Va Ccn Optum | $0.19 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Outpatient | Health Alliance Plan | Hap Senior Plus | $0.19 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | Molina | Medicaid | $0.19 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.19 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | Humana | Medicaid | $0.19 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Outpatient | Paramount Health Care | Paramount Elite | $0.19 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Pruitt Health | MCR | $0.19 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $0.19 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Pruitt Health | MCR | $0.19 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Apex Health | MCR | $0.19 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | ELEVATE | $0.19 | — | — | 2025-11-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $0.19 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.19 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Humana KY Medicaid | Managed Medicaid | $0.20 | $1.01 | $0.31 | 2026-02-09 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $0.20 | — | — | 2026-09-02 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Outpatient | Buckeye Community Health Plan | Buckeye Mycare Oh Medicare | $0.20 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Molina of KY Medicaid/Passport | Managed Medicaid | $0.20 | $1.01 | $0.31 | 2026-02-09 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | United Healthcare KY | Managed Medicaid | $0.20 | $1.01 | $0.31 | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | Aetna Better Health KY | Managed Medicaid | $0.20 | $1.01 | $0.31 | 2026-02-09 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $0.20 | $1.00 | $0.20 | 2026-07-15 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | Absolute Total Care | Medicaid | $0.20 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.20 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | OSCAR | OSCAR EPO | $0.20 | $1.00 | $0.65 | 2026-03-31 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Empire Bc | Empire Bc | $0.21 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Paramount Health Care | Paramount Elite | $0.21 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp Commercial/Select | Mvp Commercial/Select | $0.21 | $1.00 | $0.50 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cigna | Mvp Commercial/Select | $0.21 | $1.00 | $0.50 | 2026-07-15 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.21 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Neny | $0.21 | $1.00 | $0.50 | 2026-07-15 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Centene | HIX | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bcbs | Empire Bc | $0.21 | $1.00 | $0.50 | 2026-07-15 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.21 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Centene | HIX | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp | Mvp Commercial/Select | $0.21 | $1.00 | $0.50 | 2026-07-15 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Centene | HIX | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | OptionsPPO | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Health Alliance Plan | Hap Senior Plus | $0.22 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Health Value Management | Humana Medicare | $0.22 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem Medicare | $0.22 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Veterans Affairs | Va Ccn Optum | $0.22 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Aetna Health | Aetna Medicare | $0.22 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | United | OptionsPPO | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Select Health | HIX | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | United | OptionsPPO | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Select Health | HIX | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MOUNT CARMEL DUBLIN BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.22 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | HMO | $0.22 | — | — | 2025-11-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | HIX | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | POS | $0.22 | — | — | 2025-11-01 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Paramount Health Care | Paramount Ppo | $0.23 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Paramount Health Care | Paramount Hmo | $0.23 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Outpatient | Buckeye Community Health Plan | Buckeye Mycare Oh Medicare | $0.23 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.23 | — | — | 2026-03-18 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Select Health | COMM | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.23 | $10.83 | $8.12 | 2026-08-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.23 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.23 | — | — | 2026-03-18 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | COMM | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Select Health | COMM | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Aetna Health | Aetna Medicare | $0.24 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Elevate Other Commercial Plan | $0.24 | — | — | 2026-04-01 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.24 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.24 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.24 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | United Healthcare Community Plan of KY | Medicaid Replacement | $0.24 | $63.21 | $0.83 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $0.24 | $63.21 | $0.83 | 2025-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.24 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.24 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Elevate Other Commercial Plan | $0.24 | — | — | 2026-04-01 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | PPO | — | $1.01 | $0.66 | 2025-11-26 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | $1.00 | $0.65 | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Prisma Health Seniorcare Pace-Upstate | Prisma Health Seniorcare Pace-Upstate | $0.24 | $1.00 | $0.65 | 2026-09-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | Cigna | PPO | $0.24 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | $1.00 | $0.65 | 2024-12-16 | MRF ↗ |
| EAST COOPER MEDICAL CENTER BothFacility | Cigna | HMOOPA | $0.24 | $1.00 | $18.75 | 2026-03-12 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | $0.24 | $63.21 | $0.83 | 2025-01-01 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.25 | $1.01 | $1.01 | 2026-03-25 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Devoted Health | Devoted Health Medicare Advantage | $0.25 | $1.00 | $0.65 | 2026-07-17 | MRF ↗ |
| The Burdett Care Center BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.25 | $1.00 | $0.65 | 2026-03-31 | 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.