70471 — Pr CTA H&n C+ W/noncontrast Img
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR CTA H&N C+ W/NONCONTRAST IMG (HCPCS 70471) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70471?code_type=HCPCS
MLA (9th ed.)
“PR CTA H&N C+ W/NONCONTRAST IMG (HCPCS 70471) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70471?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR CTA H&N C+ W/NONCONTRAST IMG (HCPCS 70471) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70471?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $368–$2,519 (25th–75th percentile) across 1,194 hospitals · 3,688 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70471 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$368
$766 typical
$2,519
The middle 50% of negotiated facility rates for this procedure, measured across 1,194 hospitals. The radiologist-read fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $766 |
| Radiologist read Estimate national typical Medicare $118 × 1.8 commercial. | $213 |
| Likely subtotal | $979 |
Complete-episode estimate (typical)
~$979
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $368–$2,519.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,593.00 | — | 2026-07-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $2,459.00 | $1,598.35 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $2,459.00 | $1,598.35 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $2,459.00 | $1,598.35 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $8,392.00 | $4,196.00 | 2026-07-01 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $56.70 | $378.00 | $283.50 | 2026-05-22 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $64.96 | $4,628.00 | $2,314.00 | 2025-12-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $75.80 | $7,288.65 | $7,288.65 | 2026-04-24 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $76.25 | $305.00 | $189.10 | 2026-04-22 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $77.14 | $133.00 | $19.95 | 2026-07-30 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS MHCP MCAID | BCBS MHCP MCAID | $78.96 | $292.00 | $219.00 | 2026-06-26 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $79.46 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $81.00 | $324.00 | $87.48 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $81.00 | $324.00 | $87.48 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $81.00 | $324.00 | $61.56 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $81.00 | $324.00 | $61.56 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $81.00 | $324.00 | $55.08 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $81.00 | $324.00 | $61.56 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $81.00 | $324.00 | $61.56 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $81.00 | $324.00 | $55.08 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $7,469.00 | $1,344.42 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $7,469.00 | $1,344.42 | 2026-05-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHCS- ALL PLANS | PHCS- ALL PLANS | $86.45 | $133.00 | $19.95 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $89.75 | $359.00 | $53.85 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $89.75 | $359.00 | $53.85 | 2026-07-15 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 31374 [105807] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALL SAVERS INSURANCE [1073] | ALL SAVERS INSURANCE [107301] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 30555 [105802] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE STUDENT RESOURCES [105808] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 740810 [105803] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | SUREST [105805] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE [105801] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE LIFE INS CO [1075] | UNITED HEALTH CARE LIFE INS CO [107501] | $94.40 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | HUMANA COMM - ALL OTHER | HUMANA COMM - ALL OTHER | $95.79 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $95.79 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $96.47 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $98.74 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - CLARION Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $99.90 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Uc Of Davis | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna National | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Prime Health Services | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Triwest Healthcare Alliance | Triwest | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Western Sky Community Care | Mgd. Medicaid | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Stratose | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | United Healthcare | Nat | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Federal Services | Tricare | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Dignity Health | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Kaiser Permanente | Commercial | $100.00 | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Multiplan | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Coordinated Care | Managed Medicaid | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Anthem | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Alliance Coal Health Plan | Commercial | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Managed Medicaid | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Smart | Preferred Care | — | $2,311.80 | $2,311.80 | 2026-07-15 | MRF ↗ |
| DANIELS MEMORIAL HOSPITAL Outpatient | ALLEGIANCE COMML-ALL OTHER PLANS | ALLEGIANCE COMML-ALL OTHER PLANS | $100.50 | $270.00 | — | 2026-07-20 | MRF ↗ |
| DANIELS MEMORIAL HOSPITAL Outpatient | ALLEGIANCE MCR | ALLEGIANCE MCR | $100.50 | $270.00 | — | 2026-07-20 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $102.00 | $943.00 | $472.00 | 2025-06-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $104.67 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CORVEL- ALL PLANS | CORVEL- ALL PLANS | $106.40 | $133.00 | $19.95 | 2026-07-30 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $106.95 | $713.00 | $534.75 | 2026-05-22 | MRF ↗ |
| GUNNISON VALLEY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $108.05 | $2,827.00 | $2,402.95 | 2026-07-10 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $109.39 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Aetna Medicare Advantage | Medicare Advantage | $109.39 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Aarp- Medicarecomplete Unitedhealthcare | Medicare Advantage | $109.39 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Uhc Medicare Solution | Medicare Advantage | $109.39 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $109.85 | $292.00 | $219.00 | 2026-06-26 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | — | — | — | $720.00 | $720.00 | 2026-03-30 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCR ADV MAYO | MEDICA MCR ADV MAYO | $110.96 | $292.00 | $219.00 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $110.96 | $292.00 | $219.00 | 2026-06-26 | MRF ↗ |
| VIERA HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $111.49 | $891.07 | $222.77 | 2026-07-15 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Medicare B Ar Jh | Federal | $111.62 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRIWEST VA CHOICE AND PC3-ALL PLANS | TRIWEST VA CHOICE AND PC3-ALL PLANS | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $112.69 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | WELMARK MCR ADV | WELMARK MCR ADV | $112.69 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $112.69 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRIWEST VA CHOICE AND PC3-ALL PLANS | TRIWEST VA CHOICE AND PC3-ALL PLANS | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $112.69 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | COVENTRY/AETNA MCR ADV | COVENTRY/AETNA MCR ADV | $112.69 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - CLARION Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | UHC MCR ADV | UHC MCR ADV | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | IOWA TOTAL CARE EXCHANGE | IOWA TOTAL CARE EXCHANGE | $112.69 | $798.00 | $454.86 | 2026-05-11 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY MCR ADV | AETNA/COVENTRY MCR ADV | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - CLARION Outpatient | TRIWEST VA - ALL PLANS | TRIWEST VA - ALL PLANS | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | AETNA/COVENTRY MCR ADV | AETNA/COVENTRY MCR ADV | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - BELMOND Outpatient | UHC MCR ADV | UHC MCR ADV | $112.69 | $333.00 | $199.80 | 2026-04-22 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HEALTH MGMT NETWORK - ALL PLANS | HEALTH MGMT NETWORK - ALL PLANS | $113.05 | $133.00 | $19.95 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | KAISER - ALL PLANS | KAISER - ALL PLANS | $113.05 | $133.00 | $19.95 | 2026-07-30 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | SAN DIEGO COUNTY [1071] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | FEDERAL PRISON [1031] | FEDERAL PRISON [10310001] | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | FEDERAL PRISON [1031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MOLINA [1055] | MOLINA MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UNLISTED MCAL HMO NON-CONTRACT [1049] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CAL OPTIMA [1016] | CalOptima Medi-Cal | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MEDI-CAL [1048] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BRAND NEW DAY [1089] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | XIMED [2016] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALIGNMENT HEALTH PLAN [2020] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | REGAL MG 'HERITAGE PROVIDER NETWORK' [2019] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | SD PHYSICIANS MED GRP [1076] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | STATE OF CALIFORNIA [1082] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | HEALTH PLAN OF SAN JOAQUIN [2032] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CAREMORE [2028] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | LA CARE HEALTH PLAN [2025] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALAMEDA ALLIANCE FOR HEALTH [2027] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MEDICAID - OUT OF STATE [1047] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | HEMET COMMUNITY MED GRP - PROMISECARE [1040] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | IMPERIAL HEALTH HOLDINGS [1132] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | GOLD COAST HEALTH PLAN [2031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | KERN HEALTH SYSTEMS [2033] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH [1237] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BRAND NEW DAY [1089] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $113.20 | $1,132.00 | $622.60 | 2026-04-01 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CHOICE CARE MCR ADV | CHOICE CARE MCR ADV | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CHOICECARE COMMERCIAL-ALL OTHER PLANS | CHOICECARE COMMERCIAL-ALL OTHER PLANS | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ENCIRCLE-ALL PLANS | ENCIRCLE-ALL PLANS | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM HEALTHY IN MCR | ANTHEM HEALTHY IN MCR | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $113.49 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $113.49 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | AETNA MCR ADVANTAGE | AETNA MCR ADVANTAGE | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SIHO MCR ADV | SIHO MCR ADV | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | THCG/ENCORE-ALL PLANS | THCG/ENCORE-ALL PLANS | $113.49 | $341.00 | $255.75 | 2026-03-18 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | SECURITY HP MCR ADV | SECURITY HP MCR ADV | $113.52 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | GROUP HLTH MCR ADV - ALL PLANS | GROUP HLTH MCR ADV - ALL PLANS | $113.52 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | INDEPENDENT CARE MCR - ALL OTHER PLANS | INDEPENDENT CARE MCR - ALL OTHER PLANS | $113.52 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $113.52 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $113.52 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $113.52 | $535.00 | $307.63 | 2026-03-03 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $114.00 | $421.00 | $211.00 | 2025-10-29 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | BLUE SHIELD CA VA | BLUE SHIELD CA VA | $114.18 | $440.00 | $440.00 | 2026-05-12 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $114.18 | $440.00 | $440.00 | 2026-05-12 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $114.18 | $440.00 | $440.00 | 2026-05-12 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $114.41 | $347.00 | $260.25 | 2026-06-26 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Employee Health Plan | Employee Health Plan | $114.48 | $240.00 | $240.00 | 2026-07-20 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $114.62 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $114.62 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Allwell Mcr Adv | Medicare Advantage | $114.97 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| IZARD REGIONAL HOSPITAL LLC Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $114.97 | $720.00 | $720.00 | 2026-07-15 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $115.57 | $305.00 | $189.10 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC VA CCN | UHC VA CCN | $115.57 | $305.00 | $189.10 | 2026-04-22 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $115.57 | $347.00 | $260.25 | 2026-06-26 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $115.57 | $305.00 | $189.10 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | BCBS MN MCR ADV | BCBS MN MCR ADV | $115.57 | $305.00 | $189.10 | 2026-04-22 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | VA - ALL PLANS | VA - ALL PLANS | $116.30 | $356.50 | $224.60 | 2026-07-17 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $116.30 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $116.30 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $116.30 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $116.30 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $116.30 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $116.30 | $236.00 | $236.00 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $116.63 | $573.00 | $309.42 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | AETNA MCARE | AETNA MCARE | $116.63 | $573.00 | $309.42 | 2026-05-22 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | VIANT BEECH ST MCR ADV | VIANT BEECH ST MCR ADV | $116.89 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $116.89 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | TODAY'S OPTION MCR ADV-ALL PLANS | TODAY'S OPTION MCR ADV-ALL PLANS | $116.89 | $474.74 | $356.06 | 2026-04-27 | MRF ↗ |
| HOT SPRINGS COUNTY MEMORIAL HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $116.94 | $206.00 | $206.00 | 2026-04-17 | MRF ↗ |
| DANIELS MEMORIAL HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $118.23 | $270.00 | — | 2026-07-20 | MRF ↗ |
| DANIELS MEMORIAL HOSPITAL Outpatient | PACIFIC SOURCE COMML-ALL PLANS | PACIFIC SOURCE COMML-ALL PLANS | $118.23 | $270.00 | — | 2026-07-20 | MRF ↗ |
| DANIELS MEMORIAL HOSPITAL Outpatient | TRIWEST CCN-ALL PLANS | TRIWEST CCN-ALL PLANS | $118.23 | $270.00 | — | 2026-07-20 | MRF ↗ |
| DANIELS MEMORIAL HOSPITAL Outpatient | FIRST CHOICE HEALTH -ALL PLANS | FIRST CHOICE HEALTH -ALL PLANS | $118.23 | $270.00 | — | 2026-07-20 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | BCBSMT PROFEE ONLY MCR ADV | BCBSMT PROFEE ONLY MCR ADV | $118.23 | $651.00 | $651.00 | 2026-02-12 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $118.23 | $651.00 | $651.00 | 2026-02-12 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | UHC PROFEE ONLY MCR ADV | UHC PROFEE ONLY MCR ADV | $118.23 | $651.00 | $651.00 | 2026-02-12 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | PACIFIC SOURCE MCR ADV | PACIFIC SOURCE MCR ADV | $118.23 | $651.00 | $651.00 | 2026-02-12 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADVANTAGE-ALL PLANS | HUMANA MCR ADVANTAGE-ALL PLANS | $118.23 | $651.00 | $651.00 | 2026-02-12 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | HEALTHNET FEDERAL-ALL PLANS | HEALTHNET FEDERAL-ALL PLANS | $118.23 | $651.00 | $651.00 | 2026-02-12 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MERIDIAN MMAI-ALL OTHER PLANS | MERIDIAN MMAI-ALL OTHER PLANS | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BEACON HEALTH OPTIONS BEHAV-ALL PLANS | BEACON HEALTH OPTIONS BEHAV-ALL PLANS | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCR ADV | HLTH ALLIANCE MCR ADV | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA MEDICARE/MMAI | AETNA MEDICARE/MMAI | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MMAI-ALL OTHER PLANS | MOLINA MMAI-ALL OTHER PLANS | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM MMAI | BC COMM MMAI | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | WELLCARE MED ADV-ALL PLANS | WELLCARE MED ADV-ALL PLANS | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MERIDIAN MCAID | MERIDIAN MCAID | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $118.47 | $652.00 | $652.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $118.47 | $652.00 | $652.00 | 2026-02-13 | 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.