35000015 — Computed Tomography, Thorax, Diagnostic; Without Contrast Material Copyright � 2021 By American Medical Association. All Rights Reserved.
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Computed tomography, thorax, diagnostic; without contrast material Copyright � 2021 by American Medical Association. All rights reserved. (OTHER 35000015) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35000015?code_type=OTHER
MLA (9th ed.)
“Computed tomography, thorax, diagnostic; without contrast material Copyright � 2021 by American Medical Association. All rights reserved. (OTHER 35000015) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35000015?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Computed tomography, thorax, diagnostic; without contrast material Copyright � 2021 by American Medical Association. All rights reserved. (OTHER 35000015) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35000015?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $381–$1,736 (25th–75th percentile) across 13 hospitals · 120 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 35000015 — 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 |
|---|---|---|---|---|---|---|---|
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Anthem Healthy Indiana Plan | — | $97.76 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Health Services Managed Hlth Serv Hip | — | $97.76 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Mdwise Excel Hip | — | $97.76 | $3,371.00 | $1,034.56 | 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 Wellcare Medicare Replacement | — | $102.31 | $2,777.00 | $724.80 | 2026-08-01 | 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 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 Aetna Medicare Replacement | — | $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 Blue Cross Medicare Adv In Out Of State | — | $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 Medicare Replacement Ins | — | $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 Meridian Mmai | — | $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 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 Wellcare Medicare Replacement | — | $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 Wellcare By Allwell | — | $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 LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $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 Medicare Part B | — | $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 Iu Health Plans Mc 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 Replacement United Healthcare Mc 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 Replacement Anthem Bc Medicare Replacement | — | $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 Wellmed-Uhc Mcr Rplcmnt | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $104.42 | $2,037.00 | $527.58 | 2026-07-31 | 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 Only | — | $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 Medicare Part B | — | $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 Iu Health Plans Mc Replacement | — | $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 Anthem Bc Medicare 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 Ascension Complete 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 Medicare Part A & B | — | $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 CRAWFORDSVILLE | Medicare Replacement United Healthcare Mc Replacement | — | $105.10 | $1,715.00 | $541.94 | 2026-07-30 | 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 Humana Gold Plus 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 INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $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 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 Choice Pffs | — | $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 Anthem Bc Medicare Replacement | — | $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 Blue Cross Medicare Adv In Out Of State | — | $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 Wellcare By Allwell | — | $105.74 | $1,608.00 | $440.59 | 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 Wellmed-Uhc Mcr Rplcmnt | — | $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 MUNSTER | Medicare Replacement Humana Medicare Choice Pffs | — | $108.28 | $2,526.00 | $682.02 | 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 CROWN POINT | Medicare Replacement Wellcare Medicare Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare Medicare 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 CROWN POINT | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | 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 Meridian Mmai | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Communicare Advantage Plan | — | $108.28 | $2,526.00 | $717.38 | 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 DYER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | 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 Wellcare By Allwell | — | $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 Medicare Replacement Ins | — | $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 Wellcare Medicare Replacement | — | $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 CROWN POINT | Medicare Replacement Humana Medicare Plus Hmo | — | $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 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 DYER | Medicare Medicare Part B | — | $108.28 | $2,526.00 | $717.38 | 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 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 MUNSTER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $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 CROWN POINT | Medicare Replacement Anthem Bc Medicare Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Health Plan Mmai-Il | — | $108.28 | $2,526.00 | $717.38 | 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 Bcbs Il Medicare Sel 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 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 Wellcare By Allwell | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Meridian Mmai | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A & B | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | 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 MUNSTER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $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 CROWN POINT | Medicare Medicare Part A Only | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Aetna Medicare Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | 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 Oak Street | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | 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 Oak Street | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | 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 Mmai | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | 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 Cigna Healthspring Mc Replacement | — | $108.28 | $2,526.00 | $717.38 | 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 MUNSTER | Medicare Replacement Advocate Humana | — | $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 MUNSTER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $108.28 | $2,526.00 | $682.02 | 2026-07-31 | 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 DYER | Medicare Medicare Part A & B | — | $108.28 | $2,526.00 | $717.38 | 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 DYER | Medicare Replacement Humana Medicare Plus Hmo | — | $108.28 | $2,526.00 | $717.38 | 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 CROWN POINT | Medicare Replacement Humana Gold Plus Mc Replacement | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part B | — | $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 DYER | Medicare Replacement Humana Medicare Choice Pffs | — | $108.28 | $2,526.00 | $717.38 | 2026-07-31 | 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 Wellcare By Allwell | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Choice Pffs | — | $108.28 | $2,526.00 | $755.27 | 2026-07-30 | 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 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 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 Health Plan Mmai-Il | — | $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 Humana Medicare Plus Hmo | — | $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 Medicare Part A & B | — | $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 Humana Medicare Choice Pffs | — | $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 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 Humana Oak Street | — | $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 Medicare Replacement Ins | — | $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 Replacement United Healthcare Mc 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 Advocate Humana | — | $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 Bcbs Il Medicare Sel Replacement | — | $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 Wellcare Medicare Replacement | — | $109.32 | $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 ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $185.90 | $572.00 | $143.00 | 2026-07-31 | 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 Workers Comp Generic Indiana | — | $208.83 | $2,037.00 | $527.58 | 2026-07-31 | 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 Wabash National | — | $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 ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Workers Comp Work Comp Franciscan Alliance Emp | — | $210.19 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Workers Comp Workers Comp Generic Indiana | — | $210.19 | $1,715.00 | $541.94 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $211.48 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $211.48 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Corvel | — | $211.48 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Us Dept Of Labor | — | $211.48 | $1,608.00 | $440.59 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Workers Comp Workers Comp Generic Illinois | — | $216.57 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Workers Comp Work Comp Franciscan Alliance Emp | — | $216.57 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Workers Comp Workers Comp Generic Indiana | — | $216.57 | $2,526.00 | $682.02 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Workers Comp Workers Comp Generic Indiana | — | $216.57 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Workers Comp Work Comp Franciscan Alliance Emp | — | $216.57 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Work Comp Franciscan Alliance Emp | — | $216.57 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Workers Comp Generic Indiana | — | $216.57 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Workers Comp Generic Illinois | — | $216.57 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Workers Comp Generic Illinois | — | $218.63 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Work Comp Franciscan Alliance Emp | — | $218.63 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Occupational Health | — | $218.63 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Workers Comp Generic Indiana | — | $218.63 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Us Dept Of Labor | — | $218.63 | $3,371.00 | $1,034.56 | 2026-08-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $241.96 | $572.00 | $143.00 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $353.00 | $1,412.00 | $504.08 | 2026-07-31 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $363.02 | $2,101.60 | $1,050.80 | 2026-07-05 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $363.02 | $2,020.80 | $1,010.40 | 2026-07-05 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $371.80 | $572.00 | $143.00 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicaid Caresource Hhw | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicaid Anthem Medicaid | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicaid Anthem Healthy Indiana Plan | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicaid Anthem Care Connect | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Health Services Mhs Care Connect | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Health Services Managed Hlth Serv Hip | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Health Services Managed Health Services | — | $381.26 | $2,526.00 | $755.27 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Mdwise Excel Hip | — | $381.26 | $2,526.00 | $717.38 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Health Services Managed Health Services | — | $381.26 | $2,526.00 | $717.38 | 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.