70496 — Pr CTA Head Wo/w Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR CTA HEAD WO/W CNTRST (CPT 70496) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70496?code_type=CPT
MLA (9th ed.)
“PR CTA HEAD WO/W CNTRST (CPT 70496) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70496?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR CTA HEAD WO/W CNTRST (CPT 70496) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70496?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $230–$1,932 (25th–75th percentile) across 3,235 hospitals · 11,056 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70496 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $4,817.23 | $2,408.61 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $4,817.23 | $2,408.61 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| SALEM HOSPITAL Outpatient | AETNA [1001] | HB CH AETNA HMO / PPO | — | $4,871.00 | $3,653.25 | 2026-03-27 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.86 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.97 | $2,775.00 | $2,081.25 | 2026-03-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $9,688.18 | $6,297.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $9,688.18 | $6,297.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.03 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.46 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $1.94 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $1.94 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.15 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $2,920.00 | — | 2025-06-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.48 | $332.00 | $63.08 | 2026-01-25 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.50 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.59 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $2.60 | $271.22 | $176.29 | 2026-05-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.13 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.23 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.23 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.45 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.66 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $3.75 | $5,417.00 | $1,191.74 | 2026-03-19 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $4.76 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $5.00 | — | — | 2026-05-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | CHIP | $5.60 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | CHIP | $5.60 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Managed Medicare | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Security Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Together Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Together Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Security Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Managed Medicare | $5.92 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $6.09 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $6.09 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Aetna of PA | Medicare | $6.16 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Aetna of PA | Medicare | $6.16 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.20 | $3,443.00 | $198.00 | 2024-12-31 | MRF ↗ |
| UPMC KANE OutpatientFacility | United Healthcare | Unison Advantage Non Special Needs | $6.22 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | United Healthcare | Unison Advantage Non Special Needs | $6.22 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | AmeriHealth Caritas | Medicare | $6.39 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | AmeriHealth Caritas | Medicare | $6.39 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | United Healthcare | Unison Advantage Special Needs | $6.51 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | United Healthcare | Unison Advantage Special Needs | $6.51 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $6.56 | $410.00 | $307.50 | 2025-03-07 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Partners/Select | $6.99 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Partners/Select | $6.99 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.56 | $4,462.06 | $4,462.06 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | $4,512.71 | $4,512.71 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | $4,512.71 | $4,512.71 | 2026-03-18 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $9.34 | $265.00 | $132.50 | 2026-04-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $9.81 | $4,462.06 | $4,462.06 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $9.87 | $4,512.71 | $4,512.71 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $9.87 | $4,512.71 | $4,512.71 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.68 | $4,462.06 | $4,462.06 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.75 | $4,512.71 | $4,512.71 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.75 | $4,512.71 | $4,512.71 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.07 | $2,307.00 | $2,191.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.07 | $2,307.00 | $2,191.65 | 2026-02-20 | MRF ↗ |
| UPMC KANE OutpatientFacility | Horizon Health Plan | Commercial | $11.20 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | Cigna | Commercial | $11.20 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Horizon Health Plan | Commercial | $11.20 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | Cigna | Commercial | $11.20 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.30 | $2,307.00 | $2,191.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $11.30 | $2,307.00 | $2,191.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.77 | $2,307.00 | $2,191.65 | 2026-02-20 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | TRIWEST- ALL PLANS | TRIWEST- ALL PLANS | $11.80 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.90 | $2,428.00 | $2,306.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.90 | $2,428.00 | $2,306.60 | 2026-02-20 | MRF ↗ |
| UPMC KANE InpatientFacility | Multiplan | Auto/PPO/Worker's Compensation | $12.00 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | Multiplan | Auto/PPO/Worker's Compensation | $12.00 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $12.14 | $2,428.00 | $2,306.60 | 2026-02-20 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | BCBSKA TRICARE | BCBSKA TRICARE | $12.17 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | AMBETTER COMM/EXCH - ALL OTHER PLANS | AMBETTER COMM/EXCH - ALL OTHER PLANS | $12.17 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $12.17 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $12.17 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $12.45 | $359.00 | $53.85 | 2026-01-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $12.63 | $2,428.00 | $2,306.60 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $12.72 | $456.00 | $136.80 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $12.72 | $324.00 | $87.48 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $12.72 | $292.00 | $43.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $12.72 | $292.00 | $43.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $12.72 | $456.00 | $136.80 | 2026-01-25 | MRF ↗ |
| UPMC KANE InpatientFacility | Health Coalition Partners | PPO | $12.80 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | InterGroup | Commercial | $12.80 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | InterGroup | Commercial | $12.80 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | Health Coalition Partners | PPO | $12.80 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $13.11 | $2,428.00 | $2,306.60 | 2026-02-20 | MRF ↗ |
| UPMC KANE InpatientFacility | Focus Healthcare | Disability/PPO/Auto | $15.20 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC KANE InpatientFacility | Focus Healthcare | Disability/PPO/Auto | $15.20 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $16.70 | $473.00 | $473.00 | 2026-02-13 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $17.51 | $2,603.00 | $1,691.95 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $17.51 | $2,603.00 | $1,691.95 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $18.10 | $4,893.00 | $4,648.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $18.10 | $4,893.00 | $4,648.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $18.10 | $4,893.00 | $4,648.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.59 | $4,893.00 | $4,648.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $19.08 | $4,893.00 | $4,648.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $19.57 | $4,893.00 | $4,648.35 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $3,864.00 | $2,511.60 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $3,864.00 | $2,511.60 | 2025-01-01 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | PROVIDRS CARE NEXUS | PROVIDRS CARE NEXUS | $20.69 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $21.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $4,165.00 | $1,666.00 | 2026-05-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $23.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | PROVIDRS CARE - ALL OTHER PLANS | PROVIDRS CARE - ALL OTHER PLANS | $23.66 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $25.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $26.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $26.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL 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 MIAMI 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 ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $26.01 | — | — | 2026-04-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $3,298.86 | $1,022.65 | 2026-02-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.85 | $413.00 | $268.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.85 | $413.00 | $268.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $26.85 | $413.00 | $268.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.85 | $413.00 | $268.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $26.85 | $413.00 | $268.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.85 | $413.00 | $268.45 | 2026-03-12 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $28.60 | $2,558.75 | $1,535.25 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $28.60 | $2,558.75 | $1,535.25 | 2025-08-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $4,386.00 | $3,289.50 | 2024-12-08 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $29.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $29.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $29.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $29.70 | $2,151.00 | $1,066.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $29.70 | $2,151.00 | $1,066.90 | 2026-02-28 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $30.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $30.42 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $4,386.00 | $3,289.50 | 2024-12-08 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $31.36 | $157.40 | $157.40 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $31.36 | $157.40 | $157.40 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $31.58 | $3,096.00 | $2,012.40 | 2026-03-14 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $32.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Colorado Access | Behavioral Health RAE | — | $8,442.00 | $2,954.70 | 2025-11-01 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $103.00 | $103.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $103.00 | $103.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $103.00 | $103.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $103.00 | $103.00 | 2026-05-09 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $6,448.00 | $4,836.00 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $6,448.00 | $4,836.00 | 2024-12-08 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $33.46 | $2,763.00 | $538.00 | 2026-01-01 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | AMBETTER MCAID | AMBETTER MCAID | $33.80 | $33.80 | $33.80 | 2026-05-11 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $7,793.59 | $5,065.83 | 2025-11-26 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $34.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $7,480.00 | $6,133.60 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $3,812.00 | $2,859.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $3,812.00 | $2,859.00 | 2024-12-08 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $34.89 | $1,641.03 | $640.00 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $34.89 | $1,641.03 | $640.00 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $34.89 | $1,641.03 | $640.00 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $34.89 | $1,641.03 | $640.00 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $34.89 | $1,641.03 | $640.00 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $34.89 | $1,641.03 | $640.00 | 2024-06-27 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $35.07 | — | — | 2026-05-06 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $35.60 | $133.00 | $93.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $35.60 | $133.00 | $93.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $35.60 | $133.00 | $93.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $35.60 | $133.00 | $93.10 | 2026-04-02 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $35.60 | $1,997.00 | $1,122.31 | 2026-02-12 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $36.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $2,686.00 | $2,014.50 | 2026-02-25 | MRF ↗ |
| WEEKS MEDICAL CENTER BothFacility | ANTHEM HEALTH PLANS OF NH - Commercial-POS | Anthem Health | $36.72 | $3,477.00 | $1,947.12 | 2025-11-12 | 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.