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–$1,923 (25th–75th percentile) across 701 hospitals · 710 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 ↗ |
| 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 ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $8.32 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $8.76 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $9.49 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $9.80 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $11.68 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $12.26 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL 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 LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 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 ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Unitedhealthcare | Individual Exchange Payer Appendix Exchange | — | — | — | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| The Healthcenter OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Mvp Health Care | 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 ↗ |
| 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 ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD 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 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 | — | — | — | 2025-01-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 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 | United Health Care Hmo | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Medicare | Medicare- Traditional | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Community Health Group | Medicaid Managed Care Plan – Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Shap Health Plan | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Community Health Group | Medicaid Managed Care Plan – Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Health Care Hmo | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Medicare | Medicare- Traditional | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Health Care Advantage | Medicare Advantage Plan – Ppo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Health Care Advantage | Medicare Advantage Plan – Ppo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Shap Health Plan | Hmo | — | — | — | 2025-11-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You 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 | Geisinger Health | Family 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 ↗ |
| 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 SOUTH, LLC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 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 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 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 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 ↗ |
| 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 ↗ |
| 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 COBB MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Wellcare Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 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 ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Oklahoma Complete Health | Sooner Care Medicaid Managed Care Plan | — | — | — | 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 ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $126.90 | $333.95 | $250.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $126.90 | $333.95 | $250.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $126.90 | $333.95 | $250.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $126.90 | $333.95 | $250.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $126.90 | $333.95 | $250.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $126.90 | $333.95 | $250.46 | 2026-05-08 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Ambetter | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Unitedhealthcare | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Medica | Exchange | — | — | — | 2026-04-01 | 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 EDGEWOOD OutpatientFacility | Aetna Better Health Kentucky | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | United Health Care | Umr | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | United Health Care | Uhccp Of Maryland | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | United Health Care | Uhc Medicare Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Bcbs | Carefirst Community Health Plan | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Aetna | Aetna Sod Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Aetna | Aetna Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Aetna | Aetna Ppo Pos | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Maryland Physicians Care | Maryland Physicians Care | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Cigna | Cigna Open Access | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Novitas Solutions | Medicare | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Tricare | Tricare | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Blue Cross | Bluechoice Carefirst | — | — | — | 2025-01-01 | MRF ↗ |
| UNION HOSPITAL OF CECIL COUNTY OutpatientFacility | Novitas Solutions | Medicare | — | — | — | 2025-01-01 | 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 ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Martins Point | Martins Point Generations Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Wellcare | Wellcare Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Humana | Humana Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Anthem | Anthem Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Aetna | Aetna Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Unitedhealthcare | Unitedhealthcare Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Aetna | Aetna Commercial | — | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE PORTLAND MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Wellcare | Wellcare Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Anthem | Anthem Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Humana | Humana Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Martins Point | Martins Point Generations 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 DIVINE SAVIOR HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin 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 ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | MVP | MVP Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $184.91 | — | — | 2025-07-01 | 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 ↗ |
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.