35170450 — Hc CT - Head/brain Wo Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC CT - HEAD/BRAIN WO CONTRAST (CDM 35170450) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35170450?code_type=CDM
MLA (9th ed.)
“HC CT - HEAD/BRAIN WO CONTRAST (CDM 35170450) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35170450?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC CT - HEAD/BRAIN WO CONTRAST (CDM 35170450) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35170450?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $976–$1,765 (25th–75th percentile) across 13 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 35170450 — 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 HEALTH- NORTHEAST OutpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $274.34 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $340.80 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $371.07 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $371.07 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $374.59 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $374.59 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $374.59 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $374.59 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $390.60 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $390.60 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $390.60 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $433.57 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $433.57 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $441.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $441.20 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $442.30 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $442.30 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $442.30 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $508.75 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $508.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $511.20 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $585.90 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $585.90 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $585.90 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $585.90 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $621.40 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $621.40 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $661.80 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $661.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $661.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $664.60 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $688.76 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $688.76 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $698.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $698.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $698.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $698.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $773.96 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $787.42 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $787.42 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Commercial | $826.12 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $826.12 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $830.02 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $830.02 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $830.02 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $852.00 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $852.00 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS Casualty | JNE001 WC | $875.86 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $893.21 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $893.21 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Commercial | $902.29 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $902.29 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Other Comm | $906.19 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Other Comm | $906.19 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare | JNE001_JNE002_JNE003 Commercial | $906.53 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 Commercial | $910.62 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Complex Medical Services | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | QualCare JCC | Workers Compensation | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Commercial | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Optum Health Transplant | Commercial | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Complex Medical Services | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Commercial | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | QualCare JCC | Workers Compensation | $976.50 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 Commercial | $976.50 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $976.50 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Other Comm | $990.17 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Other Comm | $990.17 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $999.98 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $1,002.19 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $1,026.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $1,026.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 ACA | $1,030.86 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | First Health Network | JNE001_JNE002_JNE003 Commercial | $1,065.00 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Cigna Lifesource | JCC Commercial | $1,074.15 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Cigna Lifesource | JCC Commercial | $1,074.15 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Innovage | JAB001 Medicare | $1,103.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $1,103.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Aetna Better Health | JAB001 CHIP | $1,103.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $1,103.00 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna Better Health | JAB002 CHIP | $1,103.00 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 PEBTF | $1,105.90 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | JCC001_JCC002 PPO | $1,127.08 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $1,127.08 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $1,127.08 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JCC001_JCC002 PPO | $1,127.08 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $1,127.08 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $1,127.08 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna | Commercial PEBTF | $1,134.69 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial PEBTF | $1,134.69 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Qualcare JMR | Commercial | $1,171.80 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Commercial | $1,171.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Commercial | $1,171.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare | JAB001_JAB002 Commercial | $1,173.59 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1,173.59 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 Commercial | $1,176.46 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 Commercial | $1,197.91 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 Commercial | $1,212.64 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Horizon BCBS Casualty | Workers Compensation | $1,220.63 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Horizon BCBS Casualty | Workers Compensation | $1,220.63 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | GHI Access Network | $1,255.20 | $2,092.00 | $1,359.80 | 2026-09-28 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | $1,262.25 | $2,295.00 | $1,491.75 | 2026-04-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Humana National Transplant Network | JCC Commercial | $1,269.45 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Humana National Transplant Network | JCC Commercial | $1,269.45 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Emblem | GHI - Access Network | $1,283.40 | $2,139.00 | — | 2026-04-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial | $1,341.71 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna | Commercial | $1,341.71 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Humana | Commercial | $1,363.20 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Provider Network of America | PPO_WC | $1,363.20 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST BothFacility | Devon | Commercial | $1,363.20 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Intergroup | Commercial PA | $1,363.20 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Multiplan | JNE001_JNE002_JNE003 Commercial | $1,363.20 | $1,704.00 | $123.52 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Interlink | Commercial | $1,367.10 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Qualcare JMR | Workers Compensation | $1,367.10 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Interlink | Commercial | $1,367.10 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | $1,377.00 | $2,295.00 | $1,491.75 | 2026-04-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | First Health Network | JAB001_JAB002 Commercial | $1,378.75 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Magnacare | JIB | $1,422.56 | $2,092.00 | $1,359.80 | 2026-09-28 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $1,433.21 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $1,433.21 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | IBC | JCC001 Indem_Trad | $1,442.88 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $1,495.35 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $1,495.35 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Magnacare | Standard | $1,506.24 | $2,092.00 | $1,359.80 | 2026-09-28 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | IBC | JCC002 Indem_Trad | $1,526.27 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Both | Magnacare | JIB | $1,548.08 | $2,092.00 | $1,359.80 | 2026-04-01 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Intergroup | Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Private Healthcare Services | JCC001 JCC002 PPO EPO POS | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Medicare | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital BothFacility | Devon | Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital BothFacility | Provider Network of America | PPO_WC | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Mental Health Consultants | Behavioral Health Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Humana Commercial | Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | First Health Network | JCC001_JCC002 Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Multiplan | JCC Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Intergroup | Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL BothFacility | Devon | Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Private Healthcare Services | JCC001 JCC002 PPO EPO POS | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Provider Network of America | PPO_WC | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Mental Health Consultants | Behavioral Health Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Evernorth_Cigna Behavioral Health | JCC Medicare | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Humana Commercial | Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | First Health Network | JCC001_JCC002 Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Multiplan | JCC Commercial | $1,562.40 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | VA_Champus_Tricare | JMR001 Military | $1,562.40 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Magee PHCS | Commercial | $1,562.40 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Provider Network of America | Commercial | $1,562.40 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Multiplan | JMR001_JMR002 Commercial | $1,562.40 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Both | Magnacare | Standard | $1,642.22 | $2,092.00 | $1,359.80 | 2026-04-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Multiplan | JAB001 Commercial | $1,654.50 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $1,654.50 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Multiplan | JAB Commercial | $1,654.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $1,654.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Berkshire Health Plan | Commercial | $1,660.05 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $1,661.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $1,661.50 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Multiplan | Multiplan | $1,673.60 | $2,092.00 | $1,359.80 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | $1,675.35 | $2,295.00 | $1,491.75 | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ Commercial | $1,686.09 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ Commercial | $1,686.09 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Multiplan | Multiplan | $1,711.20 | $2,139.00 | — | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Aetna | JNJ001_JNJ002_JNJ003 Commercial | $1,731.28 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | $1,732.72 | $2,295.00 | $1,491.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Multiplan | Multiplan | $1,736.36 | $2,092.00 | $1,359.80 | 2026-09-28 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Complex Medical Services | $1,757.70 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Commercial | $1,757.70 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Workers Compensation | $1,757.70 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Qualcare JMR | Commercial | $1,757.70 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Workers Compensation | $1,757.70 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Complex Medical Services | $1,757.70 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Commercial | $1,757.70 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $1,761.19 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Commercial | $1,761.19 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Commercial | $1,761.19 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL BothFacility | Provider Network of America | PPO_WC | $1,764.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Humana | Commercial | $1,764.80 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Humana Commercial | Commercial | $1,764.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | First Health Network | JAB001_JAB002 Commercial | $1,764.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Intergroup | Commercial | $1,764.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Provider Network of America | PPO_WC | $1,764.80 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL BothFacility | Devon | Commercial | $1,764.80 | $2,206.00 | $120.55 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL BothFacility | Devon | Commercial | $1,764.80 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Devon Health Rehab | JMR001 Commercial | $1,855.35 | $1,953.00 | $125.51 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Commercial | JNJ001_JNJ002_JNJ003 Preferred_Local Value | $1,860.88 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ AmeriHealth_IBC | Admin_Indemnity | $1,860.88 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Commercial | JNJ001_JNJ002_JNJ003 Admin_Indemnity | $1,860.88 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ AmeriHealth_IBC | Commercial | $1,860.88 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | $1,881.90 | $2,295.00 | $1,491.75 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | $1,904.85 | $2,295.00 | $1,491.75 | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $1,930.66 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $1,930.66 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Kennedy Aetna Commercial | Commercial | $1,967.22 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare NJ | Oxford Metro Exchange | $2,017.06 | $3,323.00 | $135.26 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ United Healthcare | Commercial Oxford Metro Exchange | $2,017.06 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS Casualty | Workers Compensation | $2,017.73 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS Casualty | JNJ001 WC | $2,118.74 | $3,323.00 | $135.26 | 2026-09-15 | 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.