00270-0445-40 — Gastrografin
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Gastrografin (CPT 00270-0445-40) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00270-0445-40?code_type=CPT
MLA (9th ed.)
“Gastrografin (CPT 00270-0445-40) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00270-0445-40?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Gastrografin (CPT 00270-0445-40) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00270-0445-40?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $0–$2,057 (25th–75th percentile) across 9 hospitals · 108 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 00270-0445-40 — 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 |
|---|---|---|---|---|---|---|---|
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna | Exchange Program | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amerigroup | Map | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Exchange | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Child Health Plus | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Medicaid Managed Care | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Child Health Plus | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Managed Long Term Care | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Chp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Americhoice Ny Medicaid | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Medicaid/Fhp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | Localplus | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | Network Benefit/Open Access Plus | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | All Other | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Visiting Nurse Services | Choice | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Visiting Nurse Services | Medicare Advantage Sn | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Visiting Nurse Services | Medicare Advantage Progr | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Ny Essential Plans | Managed Medicaid | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Interga | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Medicai | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Med Adv | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Chp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Centers Plan For Health Living | Mltc | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Centers Plan For Health Living | Mapd/Medicare Adv | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Alphacare | Ma, Mltc, Fida | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Affinity Health | Hix Qhp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Affinity Health | Medicaid, Harp, Child Health Plu | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Somos | Medicaid/Harp/Child Health Plus | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield | Mediblue Hmo/Ppo | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amida Care | Managed Medicaid | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amida Care | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicaid Advantage Plus (Map) | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicare Advantage/Fida | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicaid, Hiv, Child Health Plus, Harp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Gold/Qhp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Exchange/Metroplus Gold | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Hamaspik | Medicaid Managed Care | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Hamaspik | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Medicaid | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Visiting Nurse Services | Mltc | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Auto | $0.11 | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Partners Health Plan | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Senior Whole Health | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Integra | Mltc | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Agewell | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Medicare Advantage | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Medicaid Harp | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Qualified Health Plan | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Elderplan | Hmo | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Hip Govt Lines Of Business Nonmcr | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Ghi Network Access | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Ghi & Hip Medicare | — | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Beaver Medical Group | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $0.21 | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $0.21 | $274.34 | $274.34 | 2026-05-26 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Blue Shield | Non Epn | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Blue Shield | Epn | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Molina Healthcare | Molina Healthcare | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Inland Empire Health Plan | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net | Ambetter Hmo | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net | Ambetter Ppo | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Redlands Community Hospital | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Redlands Community Hospital | Medicare Advantage | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Kaiser | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Kaiser | Medical | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Kaiser | Medicare | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross | Commercial | $0.21 | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Choice Physicians Network | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Imperial Health Plan | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Velocity | Group Health And All Other | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Velocity | Medicare Advantage | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Easy Choice Health Plan | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Providence Health Network | Providence Health Network | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Epic Management | Medicare Advantage | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Epic Management | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Epic Management- Medi | Cal Managed Care | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net- Medi | Cal | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Lasalle Medical Associates | Commercial/Senior | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Lasalle Medical Associates | Medical | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Intervalley Healthcare | Commercial | — | $292.60 | $58.52 | 2026-05-17 | MRF ↗ |
| LUBBOCK HEART HOSPITAL LP Outpatient | Blue Cross Blue Shield Of Tx | Ppo/Trad | $0.29 | $250.89 | $250.89 | 2026-05-23 | MRF ↗ |
| LUBBOCK HEART HOSPITAL LP Outpatient | Blue Cross Blue Shield Of Tx | Bav Qhp | $0.29 | $250.89 | $250.89 | 2026-05-23 | MRF ↗ |
| FALMOUTH HOSPITAL Outpatient | Blue Cross Blue Shield | Ppo, Out Of State, Federal | $0.49 | $13.12 | $5.58 | 2026-05-14 | MRF ↗ |
| FALMOUTH HOSPITAL Outpatient | Blue Cross Blue Shield | Indemnity | $0.49 | $13.12 | $5.58 | 2026-05-14 | MRF ↗ |
| FALMOUTH HOSPITAL Outpatient | Blue Cross Blue Shield | Hmo | $0.49 | $13.12 | $5.58 | 2026-05-14 | MRF ↗ |
| LUBBOCK HEART HOSPITAL LP Outpatient | Blue Cross Blue Shield Of Tx | Hmo Pos | $42.63 | $250.89 | $250.89 | 2026-05-23 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/First Health | Commercial | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/Coventry | Commercial | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Hmo Commercial | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Hmo Commercial | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Products Except Ppo | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Products Except Ppo | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/First Health | Commercial | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/First Health | Commercial | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/Coventry | Commercial | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/Coventry | Commercial | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/Coventry | Commercial | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/First Health | Commercial | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Products Except Ppo | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $292.75 | $29.28 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $585.50 | $58.55 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Hmo Commercial | — | $585.50 | $58.55 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Hmo Commercial | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Products Except Ppo | — | $585.50 | $58.55 | 2026-05-22 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Aetna | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Blue Shield | Hmo & Ppo | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Blue Shield | Covered California/Epn | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Healthsmart | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | United Healthcare | Ppo | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | United Healthcare | Hmo | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | First Health/Coventry | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Heritage Provider Network | Commercial And Senior | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Brand New Day | Medicare | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Choice Care Network | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Health Management Network | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Kaiser Foundation Hospitals | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Mutual Of Omaha | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Integrated Health Plan | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Blue Shield Of California | Promise | $550.00 | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | For Your Benefit | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Alignment Healthcare | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Molina Healthcare Of California | Medicare | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Molina Healthcare Of California | Marketplace Prog | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Central Health Plan Of California | Medicare Adv | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Health Net Of California | Enhanced/Ambetter Ppo | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Health Net Of California | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Affiliated Health Funds | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Champion Health Plan | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Clever Care Health Plan | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | L.A. Care Health Plan | Dnsp | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | L.A. Care Health Plan | Covered California | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Aids Foundation | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Align Senior Care Ca | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Anthem Blue Cross - Medi | Cal | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Blue Cross - Medi | Cal & Healthy Families | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Ca State Prison | Government | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Citizens Choice Healthplan | Medicare Advantage | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Health Net Of California - Medi | Cal | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Heritage Provider Network - Medi | Cal High Desert | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Heritage Provider Network - Sierra Medi | Cal | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Multiplan (Mpi/Phcs/Beech Street) | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Oscar Hp/Providence Health Network | Commercial | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Aids Foundation - Medi | Cal | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Molina Healthcare Of California - Medi | Cal Hmo | — | $129.60 | $129.60 | 2026-05-24 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Innovative Integrated Health | Medicare Advantage | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Medicare Advantage | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | United Healthcare | Commercial | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Healthnet | Commercial | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Medicare Advantage | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Managed Medicaid | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Innovative Integrated Health | Medicare Advantage | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Blue Cross Blue Shield Of Ca | Medicare Advantage | — | $0.70 | $0.49 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Medicare Advantage | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Universal Care | Managed Medicaid | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Healthnet | Commercial | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | United Healthcare | Commercial | — | $0.70 | $0.49 | 2026-05-18 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Aetna | Better Health | — | $28.89 | $14.45 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Aetna | Better Health | — | $9.63 | $4.82 | 2026-05-13 | 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.