0403 — Scr Mammo Bi Incl Cad
Cite this view
HANK Price Transparency. (n.d.). Scr Mammo Bi Incl Cad (OTHER 0403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0403?code_type=OTHER
“Scr Mammo Bi Incl Cad (OTHER 0403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0403?code_type=OTHER. Accessed .
“Scr Mammo Bi Incl Cad (OTHER 0403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0403?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $76–$510 (25th–75th percentile) across 87 hospitals · 224 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0403 — 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 |
|---|---|---|---|---|---|---|---|
| LITTLE FALLS HOSPITAL Outpatient | Cdphp | Managed Medicaid | $6.13 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Fidelis | Managed Medicaid | $6.13 | $286.14 | $77.26 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Emblem | Managed Medicaid | $6.13 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Cdphp | Managed Medicaid | $6.13 | $517.83 | $139.81 | 2026-05-13 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Mvp | Managed Medicaid | $6.13 | $517.83 | $139.81 | 2026-05-13 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Empire Managed Medicaid | $6.13 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Emblem | Managed Medicaid | $6.13 | $286.14 | $77.26 | 2026-05-08 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Carolina Complete Health | Managed Medicaid | $6.30 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | United Healthcare | Managed Medicaid | $6.30 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Alliance | Managed Medicaid | $6.30 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $6.30 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Wellcare | Managed Medicaid | $6.30 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $6.30 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Mvp | Managed Medicaid | $6.34 | $286.14 | $77.26 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | Managed Medicaid | $6.34 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Trillium | Managed Medicaid | $6.36 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Partners | Managed Medicaid | $6.48 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Vaya Health | Managed Medicaid | $6.48 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $8.32 | $286.14 | $77.26 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $8.32 | $286.14 | $77.26 | 2026-05-08 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Bcbs | Option Ppo | $9.79 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Bcbs | Blue Home | $9.79 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Bcbs | Blue Value | $9.79 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Cdphp | Managed Medicaid | $10.21 | $286.14 | $77.26 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Emblem | Managed Medicaid | $10.21 | $517.83 | $139.81 | 2026-05-07 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Managed Medicaid | $10.21 | $517.83 | $139.81 | 2026-05-07 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $10.21 | $88.80 | $71.04 | 2026-05-08 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $10.21 | $88.80 | $71.04 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Emblem | Managed Medicaid | $10.21 | $517.83 | $139.81 | 2026-05-23 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Fidelis | Managed Medicaid | $10.21 | $88.80 | $71.04 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Managed Medicaid | $10.21 | $517.83 | $139.81 | 2026-05-23 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Managed Medicaid | $10.57 | $517.83 | $139.81 | 2026-05-23 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Managed Medicaid | $10.57 | $517.83 | $139.81 | 2026-05-07 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Molina | — | $10.72 | $88.80 | $71.04 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Molina | — | $10.72 | $207.75 | $166.20 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Cdphp | Managed Medicaid | $10.72 | $207.75 | $166.20 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | Managed Medicaid Essential | $12.25 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Managed Medicaid Essential | $12.25 | $517.83 | $139.81 | 2026-05-07 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Managed Medicaid Essential | $12.25 | $517.83 | $139.81 | 2026-05-23 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Healthy Blue North Carolina | Managed Medicaid | $13.43 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $13.43 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Carolina Complete Health | Managed Medicaid | $13.43 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Alliance | Managed Medicaid | $13.43 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Wellcare | Managed Medicaid | $13.43 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | United Healthcare | Managed Medicaid | $13.43 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Trillium | Managed Medicaid | $13.57 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Fidelis | Managed Medicaid Essential | $13.78 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Partners | Managed Medicaid | $13.84 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Vaya Health | Managed Medicaid | $13.84 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthempathwayhmo/Hic/Tiered | — | — | — | 2026-05-27 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Contigo | — | $15.73 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Amerihealth | Managed Medicaid | $16.25 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Carolina Complete Health | Managed Medicaid | $16.25 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Bcbs | Managed Medicaid | $16.25 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Trillium | Managed Medicaid | $16.25 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Cigna | Choice | $16.33 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Aetna | State Health Plan | $16.33 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Fidelis | Exchange | $17.87 | $250.38 | $200.30 | 2026-05-06 | MRF ↗ |
| CORNING HOSPITAL Both | Fidelis | Exchange | $17.87 | $257.92 | $206.34 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Fidelis | Exchange | $17.87 | $207.75 | $166.20 | 2026-05-08 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Fidelis | Exchange | $17.87 | $88.80 | $71.04 | 2026-05-08 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Bcbs | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Amerihealth | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Alliance Health | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Partners | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Carolina Complete Health | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Trillium | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Bcbs | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Trillium | Managed Medicaid | $18.06 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Alliance | Managed Medicaid | $18.59 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $18.59 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $18.59 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $18.59 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Healthy Blue North Carolina | Managed Medicaid | $18.59 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Medcost | — | $18.63 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Medcost | Ppo | $18.63 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Medcost | Ultra | $18.63 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Trillium | Managed Medicaid | $18.77 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $18.77 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Wellcare | Managed Medicaid | $18.77 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $18.96 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Alliance | Managed Medicaid | $19.03 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $19.03 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Vaya Health | Managed Medicaid | $19.14 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Partners | Managed Medicaid | $19.14 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Trillium | Managed Medicaid | $19.22 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Tricare | Hmo | $19.41 | $148.00 | $88.80 | 2026-05-24 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Tricare | Hmo | $19.41 | $148.00 | $88.80 | 2026-05-14 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Vaya Health | Managed Medicaid | $19.60 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Partners | Managed Medicaid | $19.60 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Aetna | Choice Pos | $19.78 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Essentials | $20.42 | $517.83 | $139.81 | 2026-05-23 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Medicare Advantage Hmo | $20.42 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Aetna | Medicare Advantage Hmo | $20.42 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Medicare Advantage Hmo | $20.42 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Cdphp | Essentials | $20.42 | $302.50 | $81.68 | 2026-05-08 | MRF ↗ |
| Duke Health Raleigh Hospital Both | Aetna | Medicare Advantage Hmo | $20.42 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Essentials | $20.42 | $517.83 | $139.81 | 2026-05-07 | MRF ↗ |
| Duke Health Raleigh Hospital Both | Aetna | Medicare Advantage Hmo | $20.42 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | United Healthcare | Managed Medicaid | $20.49 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $20.69 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Tricare | Hmo | $20.71 | $23.00 | $13.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Medicare Advantage | $20.92 | $126.00 | $75.60 | 2026-05-06 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $20.92 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Bcbs | Medicare Advantage | $20.92 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Medicare Advantage | $20.92 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Bcbs | Medicare Advantage | $20.92 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | $20.92 | $148.00 | $88.80 | 2026-05-24 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $20.92 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | $20.92 | $148.00 | $88.80 | 2026-05-14 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | $20.92 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Medicare Advantage | $20.92 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Bcbs | Medicare Advantage | $20.92 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Bcbs | Medicare Advantage | $20.92 | $139.00 | $83.40 | 2026-05-09 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Bcbs | Medicare Advantage | $20.92 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | United Healthcare | Medicare Advantage | $21.16 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | United Healthcare | Medicare Advantage | $21.16 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | United Healthcare | Medicare Advantage | $21.16 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Duke Health Raleigh Hospital Both | United Healthcare | Medicare Advantage | $21.16 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Duke Health Raleigh Hospital Both | United Healthcare | Medicare Advantage | $21.16 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Aetna | Medicare Advantage Hmo | $21.21 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Aetna | Medicare Advantage Ppo | $21.21 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Medicare Advantage Ppo | $21.56 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Medicare Advantage Ppo | $21.56 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Aetna | Medicare Advantage Ppo | $21.56 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Duke Health Raleigh Hospital Both | Aetna | Medicare Advantage Ppo | $21.56 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Duke Health Raleigh Hospital Both | Aetna | Medicare Advantage Ppo | $21.56 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Tricare | Select | $21.57 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Humana | Medicare Advantage State Health Plan | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Health Team Advantage | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Humana | Medicare Advantage Gold Plus | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Tricare | Select | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Health Team Advantage | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Humana | Medicare Advantage Gold Plus | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| REX HOSPITAL Outpatient | Alignment | Smart Hmo | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | First Medicare Direct | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Alignment | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Wellcare | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Alignment | Preferred Plus Hmo | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Liberty | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-24 | MRF ↗ |
| REX HOSPITAL Outpatient | Health Team Advantage | Medicare Advantage | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Wellcare | Medicare Advantage | $21.57 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Liberty | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | First Medicare Direct | Medicare Advantage | $21.57 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Alignment | Preferred Plus Hmo | $21.57 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Cigna | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Wellcare | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Tricare | Hmo | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Alignment | Smart Hmo | $21.57 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Liberty | Medicare Advantage | $21.57 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Alignment | Preferred Plus Hmo | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Liberty | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | United Healthcare | Hmo | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Alignment | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Tricare | Select | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| REX HOSPITAL Outpatient | Tricare | Hmo | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Tricare | Hmo | $21.57 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Humana | Medicare Advantage Gold Plus | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | First Medicare Direct | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Humana | Medicare Advantage Gold Plus | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Liberty | Medicare Advantage | $21.57 | $139.00 | $83.40 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Humana | Medicare Advantage State Health Plan | $21.57 | $139.00 | $83.40 | 2026-05-09 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Aetna | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Tricare | Hmo | $21.57 | $139.00 | $83.40 | 2026-05-09 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Alignment | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-06 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Health Team Advantage | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Humana | Medicare Advantage Gold Plus | $21.57 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| UNC ROCKINGHAM Outpatient | Wellcare | Medicare Advantage | $21.57 | $191.00 | $114.60 | 2026-05-13 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Tricare | Select | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Alignment | Medicare Advantage | $21.57 | $126.00 | $75.60 | 2026-05-06 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Humana | Medicare Advantage Ppo | $21.57 | $126.00 | $75.60 | 2026-05-06 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Alignment | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Humana | Medicare Advantage State Health Plan | $21.57 | $116.00 | $69.60 | 2026-05-27 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Alignment | Smart Hmo | $21.57 | $139.00 | $83.40 | 2026-05-09 | MRF ↗ |
| CHARLES A CANNON JR MEMORIAL HOSPITAL Outpatient | Tricare | Select | $21.57 | $76.00 | $45.60 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Alignment | Medicare Advantage | $21.57 | $139.00 | $83.40 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Health Team Advantage | Medicare Advantage | $21.57 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Wellcare | Medicare Advantage | $21.57 | $126.00 | $75.60 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Alignment | Medicare Advantage | $21.57 | $139.00 | $83.40 | 2026-05-06 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Humana | Medicare Advantage State Health Plan | $21.57 | $126.00 | $75.60 | 2026-05-06 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Alignment | Medicare Advantage | $21.57 | $107.00 | $64.20 | 2026-05-09 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | First Medicare Direct | Medicare Advantage | $21.57 | $76.00 | $45.60 | 2026-05-27 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Medicare Advantage | $21.59 | $291.24 | $145.62 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | $21.59 | $246.48 | $197.18 | 2026-05-23 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Mvp | Medicare Advantage | $21.59 | $291.24 | $145.62 | 2026-05-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | $21.59 | $246.48 | $197.18 | 2026-05-07 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Humana | Medicare Advantage | $21.67 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Humana | Medicare Advantage | $21.67 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Humana | Medicare Advantage | $21.67 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Duke Health Raleigh Hospital Both | Humana | Medicare Advantage | $21.67 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Duke Health Raleigh Hospital Both | Humana | Medicare Advantage | $21.67 | $101.00 | $27.27 | 2026-05-06 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | United Healthcare | Medicare Advantage | $21.73 | $246.48 | $197.18 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Wellcare | Fidelis Medicare Advantage | $21.73 | $246.48 | $197.18 | 2026-05-23 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Cdphp | Medicare Advantage | $21.73 | $246.48 | $197.18 | 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.