5521 — Level 1 Imaging Without Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 1 Imaging without Contrast (OTHER 5521) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5521?code_type=OTHER
MLA (9th ed.)
“Level 1 Imaging without Contrast (OTHER 5521) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5521?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 1 Imaging without Contrast (OTHER 5521) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5521?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $87–$245 (25th–75th percentile) across 810 hospitals · 1,070 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5521 — 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 |
|---|---|---|---|---|---|---|---|
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Health Alliance Plan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Unitedhealthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA ALBEMARLE MEDICAL CENTER OutpatientFacility | Sentara Healthplan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann The Woodlands Medical Center OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN MEMORIAL CITY HOSPITAL OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK OutpatientFacility | Zing Health | Medicare Managed Care Plan | $4.14 | — | — | 2025-08-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Mvp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Mvp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | AmeriChoice | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT AUBURN HOSPITAL OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNS HOPKINS HOSPITAL, THE OutpatientFacility | Medicaid Maryland | Medicaid (X02) Emergency Medical Only | $6.57 | — | — | 2025-07-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Fidelis | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | MVP Healthcare | Medicaid Managed Care | $6.82 | — | — | 2026-07-18 | MRF ↗ |
| SHARON HOSPITAL OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SHARON HOSPITAL OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | MVP | MVP CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Caresource | OH Medicaid Managed Care Plan | $7.76 | — | — | 2025-07-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BUCKEYE | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST. PATRICK HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | Excellus Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | Excellus Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | United Healthcare | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Buckeye | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL OutpatientFacility | Buckeye Community Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Children's Health Insurance Program | Medicaid Managed Care Plan | $8.98 | — | — | 2026-01-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Community Plan | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Univera Healthcare | Special Programs Government | $9.09 | — | — | 2026-07-18 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | AmeriChoice | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | Excellus | Excellus Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Medicare Managed Care Plan | — | — | — | 2026-10-12 | MRF ↗ |
| SPEARE MEMORIAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PELHAM MEDICAL CENTER OutpatientFacility | Devoted Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNION MEDICAL CENTER OutpatientFacility | Devoted Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | MVP | MVP Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Bcbs | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Bcbs | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Exchange Plan Silver | — | — | — | 2026-04-01 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | PPO | $9.66 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Promise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Health First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Health First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BUCKEYE | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BUCKEYE | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BUCKEYE | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Affinity | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $10.91 | — | — | 2025-01-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Medicare Hmo | Devoted Health Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Emblem Health - HIP | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Healthplus Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY HILLANDALE HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY HILLANDALE HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS TYRONE OutpatientFacility | Aetna Better Health | All Plans | $12.42 | — | — | 2025-08-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Cdphp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Emblemhealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Emblemhealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | MVP | MVP Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | MVP | MVP Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SEASIDE HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | Buckeye | Allwell Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Affinity | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Individual Network - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | MOLINA | Molina Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Fidelis Care | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Fidelis Care | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| WAUPUN MEMORIAL HOSPITAL OutpatientFacility | Auto | Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Aetna Medicare | Hmo | $14.00 | — | — | 2026-01-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $14.27 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $14.27 | — | — | 2026-03-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Rhc Upmc For You | All Plans | $14.50 | — | — | 2025-08-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Affinity | Affinity Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Optimum Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL BROOKSVILLE OutpatientFacility | Optimum Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL CRYSTAL RIVER OutpatientFacility | Optimum Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Noble Community Medical Associates | Medi-Cal Ipa Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Cross Gmc | Ucd Hb Blue Cross Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | Bcbs | Employee | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Al Medicaid | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | $15.00 | — | — | 2025-07-01 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | 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.