40714 — Iohexol IV Soln 350 Mg/ml
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Iohexol Iv Soln 350 Mg/ml (CPT 40714) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/40714?code_type=CPT
MLA (9th ed.)
“Iohexol Iv Soln 350 Mg/ml (CPT 40714) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/40714?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Iohexol Iv Soln 350 Mg/ml (CPT 40714) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/40714?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48–$220 (25th–75th percentile) across 24 hospitals · 77 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 40714 — 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 |
|---|---|---|---|---|---|---|---|
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $1.00 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $1.00 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $1.00 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $1.00 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $2.00 | $2.00 | $2.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $2.00 | $2.00 | $2.00 | 2026-04-01 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | PPO | $2.00 | $2.00 | $2.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $2.00 | $2.00 | $2.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | HMO | $2.00 | $2.00 | $2.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $2.00 | $2.00 | $2.00 | 2026-04-01 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $4.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Prime Health Services | Commercial | $5.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Texas Children's Health Plan | HMO | $5.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Scott and White | Commercial | $6.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | PPO | $6.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Rockport | Commercial | $6.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $6.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $6.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Multiplan | Commercial | $6.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $8.00 | $7.00 | $2.00 | 2026-03-26 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $8.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $9.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $13.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Commercial | $14.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $14.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Commercial | $15.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $15.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $15.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Commercial | $16.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Commercial | $17.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MultiPlan | Commercial | $17.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $18.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $18.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $18.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $18.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $18.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | FirstCare | PPO | $18.00 | $151.00 | $128.00 | 2026-08-20 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $18.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $19.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Commercial | $19.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Coventry | Commercial | $20.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Aetna | Commercial | $20.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $20.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $21.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage HMO | $21.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $21.00 | $210.00 | $210.00 | 2025-11-06 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Beacon Health | Commercial | $21.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Commercial | $21.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Manage Behavioral Health | Commercial | $21.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Martin's Point Healthcare | Tricare | $21.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $22.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Medicare Advantage | $22.00 | $21.00 | $16.00 | 2026-08-27 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | HMO | $23.00 | $29.00 | $29.00 | 2026-04-01 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $23.00 | $142.00 | $142.00 | 2025-11-07 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | PPO | $23.00 | $29.00 | $29.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $23.00 | $29.00 | $29.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $23.00 | $29.00 | $29.00 | 2026-04-01 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | HMO | $23.00 | $29.00 | $29.00 | 2025-03-24 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $23.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $23.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $23.00 | $29.00 | $29.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $23.00 | $29.00 | $29.00 | 2026-04-01 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $23.00 | $29.00 | $29.00 | 2026-04-01 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | PPO | $23.00 | $29.00 | $29.00 | 2026-04-01 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Aetna | Commercial | $23.00 | $47.00 | $33.00 | 2026-06-02 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Commercial | $24.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Medica | Commercial | $24.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Sanford Health Plan | Commercial | $24.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $26.00 | $160.00 | $160.00 | 2025-11-07 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Cigna | Commercial | $27.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | HealthSmart | Commercial | $27.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $29.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Alliance Regional | Commercial | $29.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue HMO | $30.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage PPO | $30.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | 90 Degrees | Commercial | $32.00 | $30.00 | $23.00 | 2025-06-05 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $32.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | The First Health Network | Commercial | $32.00 | $210.00 | $210.00 | 2025-11-06 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $32.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Commercial | $32.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Commercial | $34.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $35.00 | $47.00 | $33.00 | 2026-06-02 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Commercial | $35.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $35.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $35.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $35.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $35.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $35.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $35.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $36.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | FirstCare | PPO | $36.00 | $300.00 | $255.00 | 2026-08-20 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Commercial | $37.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Commercial | $37.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Cigna | Commercial | $38.00 | $47.00 | $33.00 | 2026-06-02 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $38.00 | $47.00 | $33.00 | 2026-06-02 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | HMO | $38.00 | $47.00 | $33.00 | 2026-06-02 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | PPO | $38.00 | $47.00 | $33.00 | 2026-06-02 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $38.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $38.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $38.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $38.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $38.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $39.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Cigna | Commercial | $40.00 | $101.00 | $25.00 | 2026-03-26 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $40.00 | $101.00 | $76.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MultiPlan | Commercial | $40.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Commercial | $40.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Commercial | $40.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $41.00 | $51.00 | $51.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | HMO | $41.00 | $51.00 | $51.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $41.00 | $51.00 | $51.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $41.00 | $51.00 | $51.00 | 2026-04-01 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | PPO | $41.00 | $51.00 | $51.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $41.00 | $51.00 | $51.00 | 2026-04-01 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $41.00 | $51.00 | $51.00 | 2026-04-01 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | PPO | $41.00 | $51.00 | $51.00 | 2026-04-01 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | HMO | $41.00 | $51.00 | $51.00 | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Commercial | $43.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Commercial | $43.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MultiPlan | Commercial | $43.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Cigna | Commercial | $46.00 | $115.00 | $29.00 | 2026-03-26 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Aetna | Commercial | $46.00 | $25.00 | $25.00 | 2026-06-10 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Aetna | Commercial | $46.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Coventry | Commercial | $46.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $47.00 | $249.00 | $174.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | PPO | $47.00 | $249.00 | $174.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage | $47.00 | $249.00 | $174.00 | 2025-06-13 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Commercial | $47.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $47.00 | $196.00 | $196.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $47.00 | $196.00 | $196.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $47.00 | $196.00 | $196.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $47.00 | $196.00 | $196.00 | 2025-07-03 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | HMO | $47.00 | $249.00 | $174.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | VA PCCC | $47.00 | $249.00 | $174.00 | 2025-06-13 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $48.00 | $240.00 | $156.00 | 2026-05-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Commercial | $48.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $48.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Beacon Health | Commercial | $48.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Manage Behavioral Health | Commercial | $48.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Martin's Point Healthcare | Tricare | $48.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Medicare Advantage | $48.00 | $249.00 | $174.00 | 2025-06-13 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Coventry | Commercial | $49.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Aetna | Commercial | $49.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Medicare Advantage | $50.00 | $48.00 | $36.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $51.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $51.00 | $101.00 | $25.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Blue Essentials | $51.00 | $101.00 | $25.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage | $51.00 | $101.00 | $25.00 | 2026-03-26 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $52.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Beacon Health | Commercial | $52.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Manage Behavioral Health | Commercial | $52.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Commercial | $52.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Aetna | Commercial | $52.00 | $109.00 | $76.00 | 2026-06-02 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | PPO | $52.00 | $276.00 | $193.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | HMO | $52.00 | $276.00 | $193.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $52.00 | $276.00 | $193.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage | $52.00 | $276.00 | $193.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | VA PCCC | $52.00 | $276.00 | $193.00 | 2025-06-13 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Martin's Point Healthcare | Tricare | $52.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Medica | Commercial | $53.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Cigna | Commercial | $53.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Ambetter | Commercial | $53.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Blue Cross Blue Shield | Commercial | $53.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Medicare Advantage | $53.00 | $276.00 | $193.00 | 2025-06-13 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Midlands Choice | Commercial | $53.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Meritain | Commercial | $54.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Coventry | Commercial | $54.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $54.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $54.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $54.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Cigna | Medicare Advantage | $54.00 | $52.00 | $39.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $54.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Aetna | Commercial | $54.00 | $56.00 | $56.00 | 2025-11-07 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $54.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $55.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Commercial | $56.00 | $83.00 | $62.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $56.00 | $91.00 | $68.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $56.00 | $143.00 | $107.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Tufts Health Plan | Commercial | $57.00 | $92.00 | $69.00 | 2026-08-27 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $58.00 | $115.00 | $29.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Blue Essentials | $58.00 | $115.00 | $29.00 | 2026-03-26 | MRF ↗ |
| NORTH TEXAS MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage | $58.00 | $115.00 | $29.00 | 2026-03-26 | 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.