00407-1414-91 — Omnipaque 350
Cite this view
HANK Price Transparency. (n.d.). Omnipaque 350 (OTHER 00407-1414-91) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00407-1414-91?code_type=OTHER
“Omnipaque 350 (OTHER 00407-1414-91) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00407-1414-91?code_type=OTHER. Accessed .
“Omnipaque 350 (OTHER 00407-1414-91) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00407-1414-91?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $0–$2,882 (25th–75th percentile) across 9 hospitals · 102 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00407-1414-91 — 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 |
|---|---|---|---|---|---|---|---|
| University of Arkansas Medical Sciences Outpatient | Devoted Health Plan | Devoted Health Plan | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Multiplan | Multiplan | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Choicecare Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Commercial | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Va | Community Care Network | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Commercial | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Medicare | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Empower | Empower | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Triwest | Triwest | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | First Health | First Health | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna C | 16 | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Northwest Health Plan | Northwest Health Plan | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Qualchoice Novasys | Qualchoice Novasys | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Tribute Health | Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Vantos | Vantos | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Dual Elig Medicare Advantage | Wellcare Dual Elig Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare Non | Dual Elig Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Commercial | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna | Cigna | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna Healthspring Medicare Advantage | Cigna Healthspring Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Total Care | Arkansas Total Care | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Summit Community Care | Summit Community Care | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Health Advantage | Health Advantage | $0.17 | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Optum Health Transplant | Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Healthscope Benefits | Healthscope Benefits | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Municipal Health Benefit Fund | Municipal Health Benefit Fund | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Wellcare By Allwell | Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Ambetter | Ambetter | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Commercial | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Primewell Health Services | Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Essence Healthcare | Essence Healthcare | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicare | Arkansas Medicare | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Medicare Advantage | Blue Cross Blue Shield Medicare Advantage | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Metallic Plan | Blue Cross Blue Shield Metallic Plan | $0.17 | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield Premium Hmo | Blue Cross Blue Shield Premium Hmo | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Blue Cross Blue Shield True Blue Ppo | Blue Cross Blue Shield True Blue Ppo | $0.17 | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Caresource Passe | Caresource Passe | — | $56.66 | $34.00 | 2026-05-08 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Mississippi Physicians Care Network | Commercial | — | $121.10 | $36.33 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Mississippi Physicians Care Network | Commercial | — | $121.10 | $36.33 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice | Commercial | — | $121.10 | $36.33 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice Preferred Pricing | Commercial | — | $121.10 | $36.33 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | 90 Degree Benefits | Commercial | — | $121.10 | $36.33 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice | Commercial | — | $121.10 | $36.33 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice Preferred Pricing | Commercial | — | $121.10 | $36.33 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | 90 Degree Benefits | Commercial | — | $121.10 | $36.33 | 2026-05-23 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Mount Carmel/Medigold | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicare Advantage Hmo/Ppo | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Hmo.Hic | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Dual | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Duel Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Oscar | Exchange | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $0.23 | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Medicare/Dual Eligible Special Needs | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Va Pccc Program | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Marysville City Schools | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Hmo, Ppo, Traditional | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Health Exchange | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Managed Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Valor Health Plan | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Gateway Health Plan | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource (Ohio Marketplace) | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Core Care Select (Copc) | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Emerald Health Network | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group (Aka Ohio Healthy) | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio State University Health Plan | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Paramount Advantage/Anthem | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network (Trpn) | Commercial | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accountable Health Plan Of Oh | Medicare Advantage | — | $181.65 | $118.07 | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $44.59 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $47.83 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $48.84 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $56.02 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $56.57 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $56.87 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $59.20 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $62.16 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $68.82 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $70.71 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $75.15 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $76.27 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $76.47 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $76.70 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $76.73 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $79.17 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $79.90 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $79.92 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $84.12 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $86.80 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $87.91 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $95.90 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $104.90 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $105.45 | $111.00 | $50.73 | 2026-05-23 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Security Health | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Humana Choicecare Gold | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Humana Choicecare Gold | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Direct Connect Contracting | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Direct Connect Contracting | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Dept Of Labor | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Dept Of Labor | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Al | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Al | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Fl | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Fl | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Care Improvement Plus | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Naphcare | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Galaxy Health Network Ppo | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna All Plans | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna All Plans | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Cigna | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Cigna | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | First Health | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Care Improvement Plus | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Health Choice | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | First Health | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Health Choice | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare Va | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare Va | Commercial | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Simpra Advantage | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Simpra Advantage | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Security Health | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Viva Health | Medicare Advantage | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Viva Health | Medicare Advantage | — | $614.42 | $245.77 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Naphcare | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Galaxy Health Network Ppo | Commercial | — | $423.74 | $169.50 | 2026-05-08 | MRF ↗ |
| BOX BUTTE GENERAL HOSPITAL Inpatient | Medica | Commercial | — | $300.00 | $270.00 | 2026-05-13 | MRF ↗ |
| BOX BUTTE GENERAL HOSPITAL Inpatient | Midlands Choice | Commercial | — | $300.00 | $270.00 | 2026-05-13 | MRF ↗ |
| BOX BUTTE GENERAL HOSPITAL Inpatient | Aetna | Commercial | — | $300.00 | $270.00 | 2026-05-13 | MRF ↗ |
| BOX BUTTE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Ne | Commercial | — | $300.00 | $270.00 | 2026-05-13 | MRF ↗ |
| BOX BUTTE GENERAL HOSPITAL Inpatient | Ambetter | Medicare Advantage | — | $300.00 | $270.00 | 2026-05-13 | MRF ↗ |
| BOX BUTTE GENERAL HOSPITAL Inpatient | United Healthcare | Commercial | — | $300.00 | $270.00 | 2026-05-13 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $55.56 | $27.78 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $55.56 | $27.78 | 2026-05-14 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum | Veteran Affairs | — | $193.80 | $58.14 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum | Veteran Affairs | — | $193.80 | $58.14 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Wellcare | Medicare Advantage | — | $193.80 | $58.14 | 2026-05-23 | 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.