35000004 — Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner Ear; Without Contrast Material Copyright � 2009 By American Medical Association. All Rights Reserved.
Cite this view
HANK Price Transparency. (n.d.). Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Copyright � 2009 by American Medical Association. All rights reserved. (OTHER 35000004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35000004?code_type=OTHER
“Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Copyright � 2009 by American Medical Association. All rights reserved. (OTHER 35000004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35000004?code_type=OTHER. Accessed .
“Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material Copyright � 2009 by American Medical Association. All rights reserved. (OTHER 35000004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35000004?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $229–$1,768 (25th–75th percentile) across 17 hospitals · 132 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 35000004 — 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 | Tx Childrens | Medicaid | $13.61 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $13.61 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $13.61 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $13.61 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $13.61 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $13.61 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $13.88 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $13.88 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $14.02 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $14.02 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Commercial | $21.55 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Commercial | $21.55 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $27.00 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $27.00 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $35.10 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $35.10 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $35.10 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $35.10 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | D-Snp | $35.92 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicare | $35.92 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | D-Snp | $35.92 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicare | $35.92 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicare & Mmp | $37.72 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Marketplace | $37.72 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicare & Mmp | $37.72 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $37.72 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $37.72 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Marketplace | $37.72 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Blue Advantage | $71.12 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Blue Advantage | $71.12 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Ppo Pos | $79.02 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Bcbs Tx | Ppo Pos | $79.02 | $54.00 | $35.92 | 2026-05-22 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Medicare Plus Hmo | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Anthem Bc Medicare Replacement | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Gold Plus Mc Replacement | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part A Only | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part B | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Wellcare By Allwell | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Aetna Medicare Replacement | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Medicare Choice Pffs | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement United Healthcare Mc Replacement | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Meridian Mmai | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Wellcare Medicare Replacement | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part A & B | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Medicare Replacement Ins | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare By Allwell | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A & B | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Anthem Bc Medicare Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part B | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement United Healthcare Mc Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare Medicare Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Choice Pffs | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A Only | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Aetna Medicare Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Optum Medicare Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Iu Health Plans Mc Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Ascension Complete Medicare Replacement | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Medicare Replacement Ins | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellcare By Allwell | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Anthem Bc Medicare Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Optum Medicare Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellcare Medicare Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Aetna Medicare Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part A & B | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part B | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement United Healthcare Mc Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Medicare Choice Pffs | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Iu Health Plans Mc Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part A Only | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Ascension Complete Medicare Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Medicare Plus Hmo | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Oak Street | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Plus Hmo | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part B | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Anthem Bc Medicare Replacement | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $105.74 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Wellcare By Allwell | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement United Healthcare Mc Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Medicare Replacement Ins | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Community Mmai | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Health Plan Mmai-Il | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare Medicare Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Medicare Replacement Ins | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mmai | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Oak Street | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Community Mmai | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Choice Pffs | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Wellcare Medicare Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Wellcare Medicare Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Wellcare By Allwell | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Advocate Humana | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mc Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Medicare Choice Pffs | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Anthem Bc Medicare Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Oak Street | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Optum Medicare Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement United Healthcare Mc Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Cigna Healthspring Mc Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Molina Healthcare Mmai | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement United Healthcare Mc Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Anthem Bc Medicare Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Oak Street | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A Only | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Gold Plus Mc Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Meridian Mmai | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Aetna Medicare Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Medicare Replacement Ins | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Cigna Healthspring Mc Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Health Plan Mmai-Il | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part B | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Anthem Bc Medicare Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part B | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part A & B | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Communicare Advantage Plan | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Advocate Humana | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Cigna Healthspring Mmai | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Medicare Replacement | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare By Allwell | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Aetna Medicare Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Meridian Mmai | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A & B | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Advocate Humana | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Choice Pffs | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Medicare Plus Hmo | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A Only | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part A Only | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A & B | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part B | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Plus Hmo | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Plus Hmo | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Community Mmai | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Medicare Choice Pffs | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Health Plan Mmai-Il | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Cigna Healthspring Mc Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Oak Street | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Aetna Medicare Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part B | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Anthem Bc Medicare Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part A & B | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Molina Healthcare Mmai | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Morecare | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Cigna Healthspring Mmai | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Medicare Plus Hmo | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Cigna Healthspring Mmai | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Humana | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Cigna Healthsprings Mc | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Meridian Mmai | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Ascension Complete Medicare Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Wellcare Medicare Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement United Healthcare Mc Replacement | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Medicare Replacement Ins | — | $109.32 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $117.11 | $1,341.00 | $335.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $117.11 | $1,341.00 | $335.25 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Anthem Healthy Indiana Plan | — | $130.22 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Health Services Managed Hlth Serv Hip | — | $130.22 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Mdwise Excel Hip | — | $130.22 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Ambetter | — | $158.61 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $186.86 | $2,299.10 | $1,149.55 | 2026-07-05 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $186.86 | $2,210.70 | $1,105.35 | 2026-07-05 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Workers Comp Work Comp Franciscan Alliance Emp | — | $204.62 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Workers Comp Workers Comp Generic Indiana | — | $204.62 | $2,777.00 | $724.80 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Amerisure Mutual Ins | — | $208.83 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Franciscan Alliance Emp | — | $208.83 | $2,037.00 | $527.58 | 2026-07-31 | 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.