35000029 — CT Pelvis W Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT Pelvis W Contrast (CDM 35000029) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35000029?code_type=CDM
MLA (9th ed.)
“CT Pelvis W Contrast (CDM 35000029) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35000029?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CT Pelvis W Contrast (CDM 35000029) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35000029?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,574–$2,346 (25th–75th percentile) across 4 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 35000029 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $548.51 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Anthem | Medicare Advantage | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Anthem | Managed Medicaid | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Anthem | HMO/PPO/Traditional | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Cigna | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Humana | Medicare Advantage | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Aetna | Medicare Advantage | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Optum Behavioral Health | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Optum Behavioral Health | Medicare Advantage | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Immergrun | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Alliance Coal | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Caresource IN Marketplace | Medicare Advantage | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Chamber Care | TruConnect | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Compass Rose (UMR) | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Encore Elite + | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | MDWise | Managed Medicaid | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | NonContracted | NonContracted | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | OneCare | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Patoka Valley | Commercial | $1,134.28 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Sagamore | Commercial | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | TriCare | Government | — | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MANAGED CARE | $1,144.55 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Immergrun | Commercial | $1,180.01 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA SIGNATURE ADMINISTRATORS | $1,208.56 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM INDEMNITY/TRADITIONAL | $1,358.62 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Alliance Coal | Commercial | $1,370.28 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Encore Elite + | Commercial | $1,465.14 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Encore | Combined Prime Elite | $1,465.14 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Blue Cross Blue Shield | Blue Cross Blue Shield Medicare Advantage | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Christus Healthplan | Christus Healthplan | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Christus Healthplan | Christus Healthplan Military | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Tricare East | Tricare East | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | WellCare | WellCAre | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | United Healthcare | United Healthcare Military | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | AETNA | AETNA Medicare Advantage | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Humana | Humana Medicare Advantage | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Cigna Healthspring | Cigna Healthspring Medicare Advantage | $1,574.00 | $1,574.00 | $1,574.00 | 2026-06-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Ambetter | Commercial | $1,693.80 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Caresource IN Marketplace | Commercial | $1,693.80 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | UNITED | UNITED MANAGED CARE | $1,749.00 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | OXFORD | UNITED MANAGED CARE - OXFORD ONLY | $1,749.00 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM MANAGED CARE | $1,749.00 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM INDIVIDUAL | $1,749.00 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA MANAGED CARE - MIDDLESEX ONLY | $1,749.00 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA MANAGED CARE | $1,749.00 | $1,749.00 | $1,749.00 | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | OneCare | Commercial | $1,778.49 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Cigna | Commercial | $1,891.41 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Sagamore | Commercial | $1,891.41 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Chamber Care | TruConnect | $1,976.10 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | United Healthcare | Commercial | $2,117.25 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Aetna | Commercial | $2,345.91 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | SIHO | Commercial | $2,399.55 | $2,823.00 | $846.90 | 2026-02-13 | MRF ↗ |
| Specialty Hospital Inpatient | Tricare East | Tricare East | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Ochsner Health Plan | Ochsner Health Plan | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | WellCare | WellCare | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | United Healthcare | United Healthcare Medicaid | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | United Healthcare | United Healthcare Military | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Vantage | Vantage | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | AETNA | AETNA Medicare Advantage | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Amerihealth Caritas | Amerihealth Caritas | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | AETNA | AETNA Medicaid | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Allwell | Allwell | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Humana | Humana Medicare Advantage | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Humana | Humana Medicaid | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Peoples Health Plan | Peoples Health Plan | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Healthy Blue | Healthy Blue | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Christus Health Plan | Christus Healthplan Military | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |
| Specialty Hospital Inpatient | Christus Health Plan | Christus Healthplan Commercial | $5,638.00 | $5,638.00 | $5,638.00 | 2026-06-04 | MRF ↗ |