0637T — CT Breast W/3d Bi C+
Cite this view
HANK Price Transparency. (n.d.). CT BREAST W/3D BI C+ (CPT 0637T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0637T?code_type=CPT
“CT BREAST W/3D BI C+ (CPT 0637T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0637T?code_type=CPT. Accessed .
“CT BREAST W/3D BI C+ (CPT 0637T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0637T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $350–$740 (25th–75th percentile) across 1,178 hospitals · 1,262 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0637T — 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 |
|---|---|---|---|---|---|---|---|
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial Midlevels | $0.03 | $345.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [UHC] | [NY METRO,CORE and CHARTER] | $0.03 | $360.00 | $360.00 | 2024-09-15 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [OXFORD] | [NY LIBERTY] | $0.03 | $360.00 | $360.00 | 2024-09-15 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial Midlevels | $0.03 | $1,625.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [OXFORD] | [NY FREEDOM] | $0.04 | $360.00 | $360.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [UHC] | [NY Commercial] | $0.04 | $360.00 | $360.00 | 2024-09-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial | $0.04 | $345.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial | $0.04 | $1,625.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $9.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $9.37 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $9.37 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $10.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $10.73 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $10.73 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.61 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.69 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.69 | — | — | 2026-03-18 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $15.07 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $15.67 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $15.67 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $15.67 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $19.20 | — | — | 2026-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCareSelect | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Carrum Health | CarrumHealth | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | AmerihealthExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Americas 1st Choice Medicare | Americas1stChoiceMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Detyens Medical Center | DetyensMedicalCenter | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $19.97 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $19.97 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $19.97 | — | — | 2026-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $23.06 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $44.87 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $44.87 | — | — | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $51.30 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $51.30 | — | — | 2025-10-24 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Commercial Midlevels | $56.50 | $345.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Commercial Midlevels | $56.50 | $1,625.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Medicare Midlevels | $56.50 | $1,625.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Medicare Midlevels | $56.50 | $345.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan - Midlevels | $56.64 | $1,625.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan - Midlevels | $56.64 | $345.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $57.46 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $59.64 | — | — | 2025-10-24 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark | Highmark Together Blue | $59.86 | — | — | 2026-04-14 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $60.00 | — | — | 2026-04-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $62.49 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Social Mission Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Connect Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Connect Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Blue Access | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Connect Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark | Highmark Community Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Community Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Community Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Direct Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark My Direct Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark My Direct Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark | Highmark Connect Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Blue High Performance | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Community Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Blue High Performance | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark My Blue Access | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark | Highmark Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Blue High Performance | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark My Direct Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Community Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark My Blue Access | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Community Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Indemnity | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark My Blue Access | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Direct Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Blue High Performance | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Blue Access | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark My Direct Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Managed Care | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $64.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Managed Care | $64.61 | — | — | 2026-04-14 | 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.