5573 — Level 3 Imaging With Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 3 Imaging with Contrast (OTHER 5573) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5573?code_type=OTHER
MLA (9th ed.)
“Level 3 Imaging with Contrast (OTHER 5573) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5573?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 3 Imaging with Contrast (OTHER 5573) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5573?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $774–$1,764 (25th–75th percentile) across 757 hospitals · 683 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5573 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Ppo - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Blue Access Network - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Ppo - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Ppo/Epo - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Hmo - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Alliancehealth Seminole OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Aetna | Better Health Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Aetna | Non Gatekeeper Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Buckeye Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER TRACY COMMUNITY HOSPITAL OutpatientFacility | United | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $38.49 | — | — | 2025-07-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW LAGRANGE HOSPITAL OutpatientFacility | Managed Health Services | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Multiplan | Primary Network All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Multiplan | Primary Network All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Bcbs | Anthem Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $51.78 | — | — | 2025-07-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Mvp Health Care | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | Preferred Blue Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Ageright | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Ageright | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Ageright | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | BCBS | Advantage Medicare Managed Care | $73.76 | — | — | 2026-07-18 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Mdwise Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Mdwise Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | MOLINA | Molina Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Sharp Health Plan | HMO | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Shap Health Plan | Hmo | $81.25 | — | — | 2025-11-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Geisinger Health | Family Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Geisinger Health | Family Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Superior | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Superior | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem Hoosier Care Connect | All Plans | $85.86 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem Hoosier Care Connect | All Plans | $85.86 | — | — | 2024-07-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | MOLINA | Molina Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | MOLINA | Molina Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Cigna Chatt 188061 | All Plans | $92.94 | — | — | 2025-05-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Apwu Cigna | All Plans | $95.00 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Apwu Cigna | All Plans | $95.00 | — | — | 2024-07-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Health Care Hmo | Hmo | $98.84 | — | — | 2025-11-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Monarch Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MILWAUKIE HOSPITAL OutpatientFacility | Moda | Non-Oebb All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | Bcbs | Blueessentials Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Wellcare Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $102.45 | — | — | 2025-01-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Aetna Medicare | Hmo | $104.46 | — | — | 2026-01-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare | Hmo | $104.95 | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare | Hmo | $104.95 | — | — | 2025-11-01 | MRF ↗ |
| PALESTINE REGIONAL WEST CAMPUS OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| MARY RUTAN HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Gateway Health Plan | F8105_Gateway Health Plan - Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Gateway Health Plan | F8105_Gateway Health Plan - Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| NGMC BARROW, LLC OutpatientFacility | Unitedhealthcare | State Health Benefit Plan Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Onn - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Oklahoma Complete Health | Sooner Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Buckeye | Ambetter Exchange | $121.90 | — | — | 2025-01-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Humana | Medicare Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Ambetter | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Unicare | Medicaid Managed Care Plan | $127.33 | — | — | 2026-01-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $128.53 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $128.53 | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE ST PETER HOSPITAL OutpatientFacility | Unitedhealthcare | Aco Tiered Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Fidelis | Fidelis Medicaid - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Fidelis | Fidelis Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Manhattan Life Multiplan | All Plans | $139.95 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Champva | All Plans | $139.95 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Manhattan Life Multiplan | All Plans | $139.95 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Champva | All Plans | $139.95 | — | — | 2024-07-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Moda | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Moda | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Moda | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Moda | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Upmc | F8120_Upmc Health Plan - Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Upmc | F8120_Upmc Health Plan - Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Upmc For You | All Plans | $141.43 | — | — | 2024-07-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Medica | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $148.96 | — | — | 2026-03-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Aetna Better Health Kentucky | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Aetna Better Health Kentucky | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - All Payer - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | The Health Plan | Medicaid Managed Care Plan | $167.51 | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Wellcare | Wellcare Medicare Advantage | $168.89 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Superior Health Plan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST BAYTOWN HOSPITAL OutpatientFacility | Texas Athletic Network | Texas Kids First All Commercial Plans | $171.81 | — | — | 2025-01-01 | MRF ↗ |
| PROVIDENCE PORTLAND MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Optimed Phcs | All Plans | $174.81 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Optimed Phcs | All Plans | $174.81 | — | — | 2024-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Humana | Humana Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Anthem | Anthem Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Martins Point | Martins Point Generations Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Wellcare | Wellcare Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Unitedhealthcare Medicare Advantage | — | — | — | 2025-07-01 | 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 ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $179.94 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $179.94 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $179.94 | — | — | 2025-07-01 | MRF ↗ |
| HOWARD YOUNG MEDICAL CENTER OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $179.94 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $179.94 | — | — | 2025-07-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $181.28 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $181.28 | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Humana | Humana Medicare Advantage | $181.74 | — | — | 2025-07-01 | MRF ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | MVP | MVP Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HOWARD YOUNG MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $183.54 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $184.91 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $185.00 | — | — | 2025-07-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Wellsense Health Plan | QHP Government Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SILVERTON MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SILVERTON MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 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 ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $188.94 | — | — | 2025-07-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $189.82 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $190.34 | — | — | 2025-07-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | IMAGINE HEALTH | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $191.24 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Unicare | Medicaid Managed Care Plan | $192.73 | — | — | 2025-07-01 | 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.