03020453 — Restore Sensor Surescan MRI
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RESTORE SENSOR SURESCAN MRI (CDM 03020453) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/03020453?code_type=CDM
MLA (9th ed.)
“RESTORE SENSOR SURESCAN MRI (CDM 03020453) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/03020453?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“RESTORE SENSOR SURESCAN MRI (CDM 03020453) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/03020453?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,449–$21,530 (25th–75th percentile) across 1 hospital · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 03020453 — 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 |
|---|---|---|---|---|---|---|---|
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $7,631.04 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $7,707.35 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $7,707.35 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $8,448.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $8,533.13 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $8,533.13 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $9,266.26 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $9,266.26 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $9,538.80 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $9,811.33 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $9,811.33 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $10,560.81 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $15,858.93 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM HMO - ALL OTHER PLANS | ANTHEM HMO - ALL OTHER PLANS | $15,858.93 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $16,992.68 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM PPO/EXCHANGE | ANTHEM PPO/EXCHANGE | $16,992.68 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $17,496.88 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $17,496.88 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $17,535.03 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM WORKERS COMP | ANTHEM WORKERS COMP | $17,535.03 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $18,126.44 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL | $18,126.44 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $20,304.01 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $20,304.01 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $20,603.80 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $20,603.80 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $21,530.42 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $21,530.42 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $21,530.42 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE - ALL OTHER PLANS | UNITED HEALTHCARE - ALL OTHER PLANS | $21,530.42 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $21,911.97 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE PPO - ALL OTHER PLANS | HUMANA CHOICECARE PPO - ALL OTHER PLANS | $21,911.97 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $23,165.65 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $23,165.65 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $24,255.79 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE - ALL PLANS | COMMUNITY HEALTH ALLIANCE - ALL PLANS | $24,255.79 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $24,528.33 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $24,528.33 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $24,528.33 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP | ENCORE WORKERS COMP | $24,528.33 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $25,891.02 | $27,253.70 | $19,077.59 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $25,891.02 | $27,253.70 | $19,077.59 | 2026-07-07 | MRF ↗ |