35000003 — Computed Tomography, Head Or Brain; Without Contrast Material, Followed By Contrast Material(s) And Further Sections Copyright � 2009 By American Medical Association. All Rights Reserved.
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Copyright � 2009 by American Medical Association. All rights reserved. (OTHER 35000003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35000003?code_type=OTHER
MLA (9th ed.)
“Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Copyright � 2009 by American Medical Association. All rights reserved. (OTHER 35000003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35000003?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Copyright � 2009 by American Medical Association. All rights reserved. (OTHER 35000003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35000003?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $229–$1,876 (25th–75th percentile) across 18 hospitals · 134 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 35000003 — 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 |
|---|---|---|---|---|---|---|---|
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $3.25 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $3.25 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $4.38 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $4.38 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $4.38 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $4.38 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $4.38 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $4.38 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $4.47 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $4.47 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $4.51 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $4.51 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Commercial | $4.57 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Commercial | $4.57 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | D-Snp | $5.22 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | D-Snp | $5.22 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicare | $5.22 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicare | $5.22 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $5.48 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicare & Mmp | $5.48 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Marketplace | $5.48 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Marketplace | $5.48 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $5.48 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicare & Mmp | $5.48 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $9.41 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $9.41 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Blue Advantage | $12.75 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Blue Advantage | $12.75 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Ppo Pos | $14.17 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Ppo Pos | $14.17 | $5.00 | $5.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicaid Op | — | $47.33 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Meridian Medicaid Op | — | $47.33 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Mclaren Medicaid Op | — | $47.33 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicaid Op | — | $47.33 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Blue Cross Complete Medicaid Op | — | $47.33 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Meridian Health Plan Medicaid Op | — | $63.99 | — | — | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Meridian Health Plan Medicaid Op | — | $63.99 | $679.00 | $169.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicaid Op | — | $63.99 | $679.00 | $169.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Complete Medicaid Op | — | $63.99 | $679.00 | $169.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicaid Op | — | $63.99 | — | — | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Health Medicaid Op | — | $63.99 | $679.00 | $169.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Complete Medicaid Op | — | $63.99 | — | — | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Molina Medicaid Op | — | $63.99 | $679.00 | $169.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Molina Medicaid Op | — | $63.99 | — | — | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Mclaren Health Plan Medicaid Op | — | $63.99 | — | — | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Medicaid Op | — | $63.99 | — | — | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Mclaren Health Plan Medicaid Op | — | $63.99 | $679.00 | $169.75 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicare Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicare Plus Blue Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Humana Medicare Advantage Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Php Medicare Advantage Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Hap Medicare Advantage Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Medicare Advanatge Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicare Advantage Op | — | $80.90 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Anthem Healthy Indiana Plan | — | $97.02 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Mdwise Excel Hip | — | $97.02 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Health Services Managed Hlth Serv Hip | — | $97.02 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $146.25 | $935.00 | $233.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $146.25 | $935.00 | $233.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $146.25 | $935.00 | $233.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $146.25 | $935.00 | $233.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $147.30 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $147.30 | $516.00 | $129.00 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Aetna Medicare Replacement | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Medicare Choice Pffs | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Wellcare By Allwell | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement United Healthcare Mc Replacement | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Medicare Plus Hmo | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Meridian Mmai | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Gold Plus Mc Replacement | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Medicare Replacement Ins | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part A Only | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part B | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part A & B | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Anthem Bc Medicare Replacement | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Wellcare Medicare Replacement | — | $172.63 | $3,787.00 | $988.41 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Anthem Bc Medicare Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Optum Medicare Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A Only | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Aetna Medicare Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare Medicare Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Ascension Complete Medicare Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement United Healthcare Mc Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part B | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A & B | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare By Allwell | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Iu Health Plans Mc Replacement | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Choice Pffs | — | $176.18 | $2,120.00 | $549.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Aetna Medicare Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Medicare Replacement Ins | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Anthem Bc Medicare Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part B | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Medicare Choice Pffs | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Ascension Complete Medicare Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellcare Medicare Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Medicare Plus Hmo | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement United Healthcare Mc Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Iu Health Plans Mc Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Optum Medicare Replacement | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellcare By Allwell | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part A Only | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part A & B | — | $177.33 | $2,120.00 | $669.92 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Plus Hmo | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Anthem Bc Medicare Replacement | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part B | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Oak Street | — | $178.41 | $1,777.00 | $486.90 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Advocate Humana | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Choice Pffs | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Cigna Healthspring Mmai | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Advocate Humana | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A & B | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Medicare Replacement Ins | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Advocate Humana | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Plus Hmo | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Oak Street | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Medicare Replacement Ins | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Communicare Advantage Plan | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement United Healthcare Mc Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part A & B | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Health Plan Mmai-Il | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Anthem Bc Medicare Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Gold Plus Mc Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Wellcare Medicare Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Community Mmai | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Wellcare By Allwell | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A & B | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare By Allwell | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part B | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Molina Healthcare Mmai | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A Only | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Meridian Mmai | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Wellcare Medicare Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Aetna Medicare Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A Only | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Oak Street | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Community Mmai | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mc Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Anthem Bc Medicare Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mmai | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Aetna Medicare Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part B | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Health Plan Mmai-Il | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part A Only | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Wellcare By Allwell | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Cigna Healthspring Mc Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Meridian Mmai | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement United Healthcare Mc Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part B | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare Medicare Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Oak Street | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Medicare Choice Pffs | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Medicare Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Optum Medicare Replacement | — | $182.71 | $3,536.00 | $1,004.22 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Choice Pffs | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Medicare Plus Hmo | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Cigna Healthspring Mc Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Anthem Bc Medicare Replacement | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Plus Hmo | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Medicare Replacement Ins | — | $182.71 | $3,536.00 | $1,057.26 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement United Healthcare Mc Replacement | — | $182.71 | $3,536.00 | $954.72 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Ascension Complete Medicare Replacement | — | $184.45 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Community Mmai | — | $184.45 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Cigna Healthspring Mc Replacement | — | $184.45 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Wellcare Medicare Replacement | — | $184.45 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part A & B | — | $184.45 | $4,814.00 | $1,477.42 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part B | — | $184.45 | $4,814.00 | $1,477.42 | 2026-08-01 | 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.