70486 — CT Maxillofacial Without Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT MAXILLOFACIAL W/O DYE (HCPCS 70486) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70486?code_type=HCPCS
MLA (9th ed.)
“CT MAXILLOFACIAL W/O DYE (HCPCS 70486) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70486?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CT MAXILLOFACIAL W/O DYE (HCPCS 70486) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70486?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $134–$1,362 (25th–75th percentile) across 4,070 hospitals · 11,776 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70486 — 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
$134
$481 typical
$1,362
The middle 50% of negotiated facility rates for this procedure, measured across 4,070 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. | $481 |
| Radiologist read Estimate national typical Medicare $40 × 1.8 commercial. | $72 |
| Likely subtotal | $552 |
Complete-episode estimate (typical)
~$552
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 $134–$1,362.
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $3,599.17 | $1,799.58 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,599.17 | $1,799.58 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.44 | $1,996.00 | $1,497.00 | 2026-03-26 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $734.00 | $477.10 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $734.00 | $477.10 | 2026-06-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,673.09 | $5,637.51 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,538.36 | $125.84 | 2026-09-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $6,428.00 | $5,270.96 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $734.00 | $477.10 | 2026-06-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.22 | $160.00 | $30.40 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.22 | $163.00 | $30.97 | 2026-01-25 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $2,545.00 | $1,018.00 | 2026-07-31 | MRF ↗ |
| NORTH ALABAMA MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD OF ALABAMA | PPO | $2.00 | $3,803.18 | $1,331.11 | 2025-07-01 | MRF ↗ |
| NORTH ALABAMA SHOALS HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD OF ALABAMA | PPO | $2.00 | $3,803.18 | $1,331.11 | 2025-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,375.00 | — | 2025-06-28 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.00 | $1,058.00 | $793.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.00 | $1,058.00 | $793.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.00 | $267.00 | $200.25 | 2026-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $3.42 | $411.00 | $308.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $3.42 | $411.00 | $308.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $3.42 | $411.00 | $308.25 | 2026-10-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.36 | $2,420.00 | $117.35 | 2024-12-31 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs True Blue Ppo Plan | Commercial | — | $296.68 | $296.68 | 2026-07-18 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $7.72 | $152.00 | $76.00 | 2026-04-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.84 | $304.00 | $304.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.84 | $304.00 | $304.00 | 2026-06-03 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $8.08 | $177.00 | $26.55 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.08 | $177.00 | $26.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $8.25 | $160.00 | $43.20 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $8.25 | $224.00 | $67.20 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $8.25 | $160.00 | $43.20 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $8.25 | $160.00 | $24.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $8.25 | $160.00 | $24.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.25 | $224.00 | $67.20 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.25 | $177.00 | $26.55 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $8.25 | $160.00 | $27.20 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $8.25 | $160.00 | $27.20 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $8.25 | $177.00 | $26.55 | 2026-07-15 | MRF ↗ |
| EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS Both | Medicare - Medicare | Medicare | — | $462.00 | $369.60 | 2026-06-16 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Outpatient | Peachstate | Medicaid Cmo | — | $2,545.00 | $1,018.00 | 2026-09-21 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $16.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $17.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $18.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.36 | $136.00 | $102.00 | 2026-01-16 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $18.90 | $126.00 | $94.50 | 2026-05-22 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $19.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $19.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $19.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $19.07 | $2,312.00 | — | 2026-03-31 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $526.00 | $368.20 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $526.00 | $368.20 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $526.00 | $368.20 | 2026-07-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Wellmark Insurance | Ppo | — | $1,458.00 | $1,385.10 | 2026-10-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Wellmark Insurance | Hmo | — | $1,458.00 | $1,385.10 | 2026-10-09 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $20.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,427.00 | $1,577.55 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,427.00 | $1,577.55 | 2025-01-01 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | — | $4,406.00 | $2,203.00 | 2025-11-19 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $21.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Aetna Bayada Employer Group | Hmo | — | $2,666.00 | $2,399.40 | 2026-09-20 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vaccn Plan | Medicare | $22.13 | $262.18 | $262.18 | 2026-07-18 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $295.00 | $20.65 | 2026-01-25 | MRF ↗ |
| TRINITY HOSPITAL Both | Cigna | Default | $22.36 | $67.00 | — | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $163.00 | $30.97 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $163.00 | $30.97 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $160.00 | $43.20 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $160.00 | $43.20 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $22.36 | $224.00 | $67.20 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $160.00 | $30.40 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $22.36 | $160.00 | $30.40 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $22.41 | $160.00 | $30.40 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $22.41 | $160.00 | $24.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $22.41 | $160.00 | $24.00 | 2026-10-05 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA HMO | CIGNA HMO | $22.41 | $177.00 | $26.55 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $22.41 | $177.00 | $26.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $22.41 | $160.00 | $32.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $22.41 | $177.00 | $26.55 | 2026-07-15 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $22.83 | $2,195.10 | $2,195.10 | 2026-04-24 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs Medicare | Medicare | $23.00 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $23.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $23.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Va | Medicare | $23.00 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicare | Medicare | $23.00 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $23.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Allwell | Medicare | $23.46 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare | Medicare | $23.46 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $23.48 | $1,539.00 | $230.85 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $23.48 | $1,539.00 | $230.85 | 2025-12-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $24.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $24.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| FRANKLIN MEDICAL CENTER Outpatient | Uhc | Commercial | — | $127.00 | $76.20 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $25.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $25.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $2,270.00 | $749.10 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $2,270.00 | $749.10 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $2,270.00 | $749.10 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $2,270.00 | $749.10 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $2,270.00 | $749.10 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $2,270.00 | $749.10 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | — | — | — | $81.00 | $40.50 | 2026-04-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $26.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $26.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MSHO/SPECIAL NEEDS | UCARE MSHO/SPECIAL NEEDS | $26.05 | $104.00 | $64.48 | 2026-04-22 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Pphp | Medicare | $26.45 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $26.51 | $385.00 | $385.00 | 2026-02-10 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $26.63 | $141.00 | $112.80 | 2026-01-16 | MRF ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $26.63 | $152.00 | $121.60 | 2026-02-25 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $26.71 | $790.50 | $454.54 | 2026-03-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $27.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $27.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $27.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $27.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $27.01 | $1,120.75 | — | 2026-08-17 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $2,421.00 | $1,985.22 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO | — | $5,286.82 | $3,436.43 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $27.50 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Medicare Plan | Medicare | — | $296.68 | $296.68 | 2026-07-18 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $27.86 | $2,474.00 | $2,053.42 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $27.86 | $2,474.00 | $2,053.42 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Plain Church | All Products | $27.86 | $2,474.00 | $2,053.42 | 2025-01-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $28.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $28.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| FRANKLIN MEDICAL CENTER Outpatient | Medicare | Medicare | — | $800.00 | $480.00 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $28.22 | $136.00 | $102.00 | 2026-01-16 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $28.29 | $192.00 | $67.20 | 2026-02-25 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicare | $28.75 | $92.00 | $46.00 | 2026-07-15 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | MEDRISK MEDICARE ADVAN-ALL OTHER PLANS | MEDRISK MEDICARE ADVAN-ALL OTHER PLANS | $28.95 | $559.00 | $391.30 | 2025-12-10 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $29.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $301.86 | $301.86 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $76.78 | $76.78 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $76.78 | $76.78 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $76.78 | $76.78 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $301.86 | $301.86 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $301.86 | $301.86 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $301.86 | $301.86 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $76.78 | $76.78 | 2024-12-30 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $29.47 | $500.00 | $1,062.75 | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $29.70 | $1,120.75 | — | 2026-08-17 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Veteran Family Member Program | Standard | — | $1,666.72 | $1,416.71 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Managed Medicare Plans | Managed Medicare Plans | — | $107.00 | $107.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Champva | Champva/Health Net | — | $107.00 | $107.00 | 2026-10-02 | MRF ↗ |
| RICHLAND PARISH HOSPITAL-DELHI Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $29.99 | $165.00 | $107.25 | 2026-01-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $30.00 | $134.00 | $67.00 | 2025-02-03 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $410.00 | $307.50 | 2026-03-18 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $30.00 | $120.00 | $78.00 | 2026-08-10 | MRF ↗ |
| LA PAZ REGIONAL HOSPITAL Both | Medicare | MC_1 | — | $3,175.00 | — | 2026-06-29 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Molina Oh | Managed Medicaid | — | $538.00 | $269.00 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,470.00 | $735.00 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $1,423.00 | $711.50 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $1,470.00 | $735.00 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,470.00 | $735.00 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Va Mgd Medicaid | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,120.00 | $560.00 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,120.00 | $560.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource Oh | Managed Medicaid | — | $538.00 | $269.00 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $1,423.00 | $711.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $2,113.00 | $1,056.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $2,113.00 | $1,056.50 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna Rental | First Health | — | $1,120.00 | $560.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | The Health Plan | The Health Plan | — | $538.00 | $269.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Pathway Exchange | Anthem Pathway Exchange | — | $538.00 | $269.00 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $2,113.00 | $1,056.50 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $538.00 | $269.00 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $1,563.00 | $781.50 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,423.00 | $711.50 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna Rental | Aetna Rental | — | $538.00 | $269.00 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,470.00 | $735.00 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $2,113.00 | $1,056.50 | 2026-07-15 | 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.