70540 — Pr MRI Orbit/face/nck Wo Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR MRI ORBIT/FACE/NCK WO CNTRST (CPT 70540) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70540?code_type=CPT
MLA (9th ed.)
“PR MRI ORBIT/FACE/NCK WO CNTRST (CPT 70540) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70540?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR MRI ORBIT/FACE/NCK WO CNTRST (CPT 70540) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70540?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $284–$1,960 (25th–75th percentile) across 3,004 hospitals · 10,768 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70540 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$284
$786 typical
$1,960
The middle 50% of negotiated facility rates for this procedure, measured across 3,004 hospitals. Surgeon & anesthesia 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. | $786 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $224 × 1.22 commercial. | $274 |
| Likely subtotal | $1,060 |
Surgical episode (typical)
~$1,060
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,845
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,415.91 | $1,707.96 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,415.91 | $1,707.96 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $8,366.99 | $5,438.54 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.63 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.66 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.93 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,875.96 | $7,069.37 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,366.99 | $5,438.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.02 | $1,541.00 | $1,155.75 | 2026-03-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.13 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.59 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.90 | $256.00 | $48.64 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $2.00 | $208.39 | $135.45 | 2026-05-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $2.08 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,019.00 | — | 2025-06-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.34 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.47 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.72 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.81 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.41 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.75 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $3.99 | $3,771.00 | $2,828.25 | 2026-04-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.99 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $9,142.82 | $5,942.83 | 2025-11-26 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $4.31 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $4.53 | — | — | 2026-05-06 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $4.83 | $6,513.00 | $1,432.86 | 2026-03-19 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.34 | $3,520.00 | $256.39 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.56 | $5,438.28 | $5,438.28 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | $5,124.37 | $5,124.37 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | $5,124.37 | $5,124.37 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $9.80 | $352.00 | $105.60 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $9.80 | $225.00 | $33.75 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $9.80 | $352.00 | $105.60 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $9.80 | $225.00 | $33.75 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $9.80 | $249.00 | $67.23 | 2026-01-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $9.81 | $5,438.28 | $5,438.28 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $9.87 | $5,124.37 | $5,124.37 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $9.87 | $5,124.37 | $5,124.37 | 2026-03-18 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $9.92 | $200.00 | $100.00 | 2026-04-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.68 | $5,438.28 | $5,438.28 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.74 | $5,124.37 | $5,124.37 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.74 | $5,124.37 | $5,124.37 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $14.68 | $363.00 | $363.00 | 2026-02-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $14.96 | $4,042.00 | $3,839.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $14.96 | $4,042.00 | $3,839.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $14.96 | $4,042.00 | $3,839.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $15.36 | $4,042.00 | $3,839.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $15.64 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $15.64 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $15.76 | $4,042.00 | $3,839.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $15.96 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $16.17 | $4,042.00 | $3,839.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $16.60 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.16 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.16 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $17.24 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $17.52 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.52 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $18.23 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $19.80 | $2,797.83 | $1,678.70 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $19.80 | $2,797.83 | $1,678.70 | 2025-08-11 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,353.00 | $1,529.45 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,353.00 | $1,529.45 | 2025-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $22.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $22.61 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $23.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $23.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $23.35 | $1,765.00 | $1,147.25 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $23.35 | $1,765.00 | $1,147.25 | 2025-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $24.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $24.20 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $24.20 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $25.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $27.57 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $27.57 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $27.57 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $27.57 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $28.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $28.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| NORTH VALLEY HEALTH CENTER Outpatient | BCBS MHCP | BCBS MHCP | $28.12 | $169.00 | $169.00 | 2025-09-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $5,697.00 | $4,272.75 | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $29.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $29.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $30.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY [12708] | $30.06 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | EXCELLUS ESSENTIAL 1&2 [10413] | $30.06 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $30.06 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $30.06 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $30.90 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $30.90 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $30.90 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $30.90 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $30.90 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $5,697.00 | $4,272.75 | 2024-12-08 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $30.90 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $31.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $31.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $31.93 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $31.93 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $32.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $32.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $32.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $32.58 | $2,827.00 | $1,696.20 | 2024-07-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $33.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $33.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $33.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $33.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $5,089.00 | $3,816.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $5,089.00 | $3,816.75 | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $34.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $9,858.00 | $8,083.56 | 2025-11-26 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID [13805] | $34.55 | $141.55 | $141.55 | 2024-12-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $2,669.00 | $2,001.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $2,669.00 | $2,001.75 | 2024-12-08 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $34.90 | $665.00 | $2,050.29 | 2026-04-01 | MRF ↗ |
| Mena Regional Health System Both | QualChoice | Default | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Medicare A AR JH | Default | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | AllWell MCR Adv | Default | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Aetna | Medicare Advantage | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $35.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| Mena Regional Health System Both | Blue Cross Blue Shield of AR | Medicare Advantage | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Cigna Medicare Advantage | Medicare Advantage | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Humana Advantage Care Plans Med Advantage | Default | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Ambetter | Default | $35.00 | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | United Healthcare | Medicare Advantage | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Wellcare Health Plan Inc MCR Adv | Medicare Advantage | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | AR Superior Select Tribute Health Plan MCR Adv | Default | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | VAPCCC3 All Regions 1-6 DOS GT 1/30/19 | Default | — | $250.00 | $150.00 | 2026-04-03 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $35.03 | $225.00 | $33.75 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $35.03 | $249.00 | $47.31 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $35.03 | $225.00 | $33.75 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $35.17 | $256.00 | $48.64 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $35.17 | $352.00 | $105.60 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $35.17 | $410.00 | $28.70 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $35.17 | $249.00 | $67.23 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $35.17 | $256.00 | $48.64 | 2026-01-25 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $36.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | None | — | — | $145.00 | $72.50 | 2026-05-19 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $3,792.00 | $2,844.00 | 2026-02-25 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $37.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $37.18 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $37.18 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $37.18 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $37.18 | $103.00 | $72.10 | 2026-04-02 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $38.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $38.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $38.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | CORIZON | INMATE SERVICES | $38.74 | $2,827.00 | $1,696.20 | 2024-07-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $38.86 | $3,736.40 | $3,736.40 | 2026-04-24 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $39.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $39.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $39.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $40.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $40.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $40.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $40.00 | $164.00 | $82.00 | 2025-02-03 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $979.20 | — | 2026-01-23 | 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.