70486 — CT Maxillofacial Without Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ct maxillofacial w/o dye (OTHER 70486) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70486?code_type=OTHER
MLA (9th ed.)
“Ct maxillofacial w/o dye (OTHER 70486) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70486?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ct maxillofacial w/o dye (OTHER 70486) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70486?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $112–$1,098 (25th–75th percentile) across 93 hospitals · 396 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 70486 — 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 |
|---|---|---|---|---|---|---|---|
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $1,097.92 | $1,097.92 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $12.96 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $12.96 | — | — | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $1,097.92 | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $23.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $23.23 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $25.77 | $81.00 | $40.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $25.77 | $81.00 | $40.50 | 2026-05-09 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $30.37 | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $30.37 | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $30.37 | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $30.37 | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $30.49 | $201.00 | $152.76 | 2026-05-27 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $30.80 | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $30.80 | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $30.94 | $539.00 | $269.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $30.94 | $1,502.00 | $751.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $31.41 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $31.41 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $32.61 | $4,016.00 | $1,606.40 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $32.61 | $8,201.00 | $3,280.40 | 2026-05-08 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $33.74 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $33.74 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $33.74 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $33.74 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $35.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $35.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $35.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $35.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $36.38 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $36.38 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $36.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $36.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $36.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $36.39 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $36.56 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $36.56 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $38.29 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $38.29 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $38.44 | $81.00 | $40.50 | 2026-05-09 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,483.00 | $444.90 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $38.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $38.72 | — | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $1,097.92 | $1,097.92 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $39.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $39.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $39.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $39.06 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $39.36 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $39.36 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $39.36 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $39.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $39.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $39.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $39.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $39.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $39.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $39.44 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $40.54 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $40.54 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $41.32 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $41.34 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $41.34 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $41.35 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $41.35 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $41.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $41.74 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $42.05 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $42.05 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $42.18 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $42.18 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $1,129.20 | $1,129.20 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Prime Health Services Ppo | All Payor | $42.82 | $201.00 | $152.76 | 2026-05-27 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $42.91 | $114.00 | $114.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $42.91 | $114.00 | $114.00 | 2026-05-22 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $45.26 | — | — | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $1,097.92 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $1,097.92 | $1,097.92 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $1,097.92 | $1,097.92 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $1,097.92 | — | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $46.59 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $46.59 | — | — | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $1,097.92 | $1,097.92 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $1,097.92 | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $47.71 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $47.71 | — | — | 2026-05-24 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $49.80 | $201.00 | $152.76 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | United Healthcare - Commercial Exchange Plan | All Payor | $49.80 | $201.00 | $152.76 | 2026-05-27 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $50.59 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $50.59 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $51.06 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $51.16 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $52.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $52.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $52.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $52.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $52.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $52.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $52.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $52.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $52.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $52.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $52.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $52.50 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $53.39 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $54.22 | — | — | 2026-05-23 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Workers' Compensation | Commercial | — | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Primary/Complementary | Commercial | — | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Caresource Of Kentucky Mco | Commercial | — | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Humana Healthy Horizons | Medicaid | $54.81 | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | Commercial | — | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Aetna Us Healthcare El Paso | Commercial | — | $1,550.00 | $1,085.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $55.10 | — | — | 2026-05-23 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $59.71 | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $60.58 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $60.58 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $61.17 | — | — | 2026-05-23 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $62.08 | $106.00 | $74.20 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $62.08 | $106.00 | $74.20 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $62.08 | $106.00 | $74.20 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $62.08 | $106.00 | $74.20 | 2026-05-14 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $62.11 | $113.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $62.11 | $524.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $62.78 | $201.00 | $152.76 | 2026-05-27 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $63.24 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional | $64.44 | $81.00 | $40.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional Facility | $64.44 | $81.00 | $40.50 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $66.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $66.00 | — | — | 2026-05-14 | 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.