35074177 — Hc CT Abdomen Pelvis W Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC CT ABDOMEN PELVIS W CONTRAST (CDM 35074177) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35074177?code_type=CDM
MLA (9th ed.)
“HC CT ABDOMEN PELVIS W CONTRAST (CDM 35074177) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35074177?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC CT ABDOMEN PELVIS W CONTRAST (CDM 35074177) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35074177?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,254–$2,316 (25th–75th percentile) across 19 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 35074177 — 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 |
|---|---|---|---|---|---|---|---|
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $334.98 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $334.98 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $409.16 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $409.16 | — | — | 2026-03-18 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $420.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $420.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $437.60 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $444.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $444.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $444.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $444.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $444.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $573.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $573.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $598.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $598.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $598.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $598.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $598.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NEHA PPO | 989_NEHA PPO BROAD MCWI 20210101 | $615.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $626.24 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $626.24 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $631.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $631.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $631.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $631.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $631.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $632.17 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $632.17 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $632.17 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $632.17 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $637.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $637.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $659.20 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $659.20 | $3,296.00 | $418.84 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $659.20 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $660.00 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $660.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $660.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $712.75 | $4,427.00 | $412.18 | 2026-09-15 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $727.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $727.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $727.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $727.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $727.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $731.71 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $731.71 | — | — | 2026-03-18 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $739.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $739.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $739.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $739.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $739.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $808.26 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $885.40 | $4,427.00 | $412.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $943.68 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $943.68 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $956.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $956.00 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $964.24 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $975.40 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $975.40 | $4,877.00 | $402.27 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $977.84 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $977.84 | $4,877.00 | $402.27 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $977.84 | $4,877.00 | $402.27 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $977.84 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $984.60 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $984.60 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $988.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $988.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $988.80 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $988.80 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $992.60 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $992.60 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $992.60 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $992.60 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $1,020.96 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $1,094.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $1,094.00 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ Commercial | $1,110.19 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ Commercial | $1,110.19 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $1,124.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $1,124.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $1,124.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $1,124.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $1,124.00 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $1,134.40 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Aetna | JNJ001_JNJ002_JNJ003 Commercial | $1,139.95 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Commercial | $1,159.64 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $1,159.64 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Commercial | $1,159.64 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $1,176.94 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $1,177.99 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $1,177.99 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $1,177.99 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $1,177.99 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $1,199.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $1,199.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $1,199.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $1,199.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $1,199.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $1,199.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Beachstreet | Beachstreet | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Multiplan | Multiplan | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Beachstreet | Beachstreet | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Multiplan | Multiplan | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Commercial | JNJ001_JNJ002_JNJ003 Preferred_Local Value | $1,225.28 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ AmeriHealth_IBC | Commercial | $1,225.28 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Commercial | JNJ001_JNJ002_JNJ003 Admin_Indemnity | $1,225.28 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ AmeriHealth_IBC | Admin_Indemnity | $1,225.28 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $1,229.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $1,229.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $1,229.00 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $1,247.84 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $1,247.84 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $1,253.50 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $1,262.02 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $1,262.02 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $1,271.23 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $1,271.23 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,274.65 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $1,276.20 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $1,276.20 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Kennedy Aetna Commercial | Commercial | $1,295.30 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $1,308.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $1,308.00 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $1,328.10 | $4,427.00 | $412.18 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare NJ | Oxford Metro Exchange | $1,328.12 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ United Healthcare | Commercial Oxford Metro Exchange | $1,328.12 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS Casualty | Workers Compensation | $1,328.55 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $1,347.10 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Commercial | $1,394.21 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $1,394.21 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS Casualty | JNJ001 WC | $1,395.07 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $1,396.98 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $1,396.98 | $3,582.00 | $1,898.46 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $1,400.80 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $1,400.80 | $3,296.00 | $418.84 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $1,400.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | First Health Network | JNJ001_JNJ002_JNJ003 Commercial | $1,404.70 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,418.00 | $1,418.00 | $808.26 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $1,418.95 | $2,405.00 | $1,274.65 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $1,463.10 | $4,877.00 | $402.27 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $1,463.10 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 Managed | $1,495.94 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 PPO | $1,495.94 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 Indemnity | $1,495.94 | $2,188.00 | $451.38 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Commercial | $1,522.75 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1,522.75 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Other Comm | $1,529.34 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Other Comm | $1,529.34 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $1,553.25 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $1,553.25 | $2,725.00 | $1,553.25 | 2026-01-01 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Humana | Humana Gold | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Humana | Humana Gold | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Tricare East | Tricare East | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Bravo Healthspring | Bravo Healthspring | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Amerihealth Caritas | Amerihealth Caritas | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Bravo Healthspring | Bravo Healthspring | — | $1,617.00 | $1,617.00 | 2025-07-02 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Christus Health Plan | Christus Health Plan | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | WellCare | WellCare | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | United Healthcare | United Healthcare Military | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | United Healthcare | United Healthcare Medicaid | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Humana | Humana | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Humana | Humana Medicaid | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Healthy Blue | Healthy Blue | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | AETNA | AETNA Better Health | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Oshners Health Plan | Oshners Health Plan | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Christus Health Plan | Christus Health Plan Military | $1,617.00 | $1,617.00 | $1,617.00 | 2026-06-04 | 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.