70543 — Pr MRI Orbt/face/nck Wo/w Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR MRI ORBT/FACE/NCK WO/W CNTRST (HCPCS 70543) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70543?code_type=HCPCS
MLA (9th ed.)
“PR MRI ORBT/FACE/NCK WO/W CNTRST (HCPCS 70543) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70543?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR MRI ORBT/FACE/NCK WO/W CNTRST (HCPCS 70543) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70543?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $423–$2,857 (25th–75th percentile) across 3,834 hospitals · 11,408 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70543 — 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
$423
$1,088 typical
$2,857
The middle 50% of negotiated facility rates for this procedure, measured across 3,834 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. | $1,088 |
| Radiologist read Estimate national typical Medicare $99 × 1.8 commercial. | $178 |
| Likely subtotal | $1,266 |
Complete-episode estimate (typical)
~$1,266
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 $423–$2,857.
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 | — | — | — | $4,137.97 | $2,068.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,137.97 | $2,068.98 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $13,792.60 | $8,965.19 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $17,930.32 | $11,654.71 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $13,792.60 | $8,965.19 | 2025-11-26 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,342.54 | $422.61 | 2026-09-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.43 | $2,998.00 | $2,248.50 | 2026-03-26 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $4,406.00 | — | 2025-06-28 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MEDICARE | MEDICARE | $2.88 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.03 | $400.00 | $76.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.03 | $408.00 | $77.52 | 2026-01-25 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | TRIWEST | TRIWEST | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MCRADV_UHC | UHC MEDICARE ADVANTAGE | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MCRADV_ROCKY_MT | ROCKY MOUNTAIN MEDICARE ADVANTAGE | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | TRICARE | TRICARE | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MCRADV_ANTHEM | ANTHEM BCBS MEDICARE ADVANTAGE | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MCRADV_AETNA | AETNA MEDICARE ADVANTAGE | $3.06 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | CIGNA | CIGNA | $4.46 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | SELF_PAY | SELF PAY DISCOUNT | $4.80 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | FRIDAY HEALTH PLAN | FRIDAY HEALTH PLAN | $5.16 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | UNITED_EMP | UNITED- PIONEERS EMPLOYEES | $5.29 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | ANTHEM | ANTHEM BLUE CROSS | $5.33 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MULTIPLAN | MULTIPLAN | $5.46 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | HUMANA | HUMANA | $5.70 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | AETNA | AETNA | $5.72 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | ROCKY_MOUNTAIN | ROCKY MOUNTAIN COMMERCIAL | $5.82 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | UNITED_HEALTHCARE | UNITED HEALTHCARE | $5.88 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | FIRST_HEALTH | FIRST HEALTH | $5.88 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MEDICAID_CO | COLORADO MEDICAID | $6.00 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Both | MEDICAID_ROCKY_MT | ROCKY MOUNTAIN MEDICAID | $6.00 | $6.00 | $4.80 | 2026-10-09 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.91 | $4,949.00 | $404.51 | 2024-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $9.37 | $970.00 | $727.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $9.37 | $970.00 | $727.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $9.37 | $970.00 | $727.50 | 2026-10-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $10,816.00 | $7,030.40 | 2025-11-26 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $15.32 | $441.00 | $66.15 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $15.32 | $441.00 | $66.15 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $15.64 | $400.00 | $108.00 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $15.64 | $441.00 | $66.15 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $15.64 | $400.00 | $68.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $15.64 | $561.00 | $168.30 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $15.64 | $400.00 | $60.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $15.64 | $400.00 | $68.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $15.64 | $400.00 | $60.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $15.64 | $561.00 | $168.30 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $15.64 | $441.00 | $66.15 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $15.64 | $400.00 | $108.00 | 2026-01-31 | MRF ↗ |
| FRANKLIN MEDICAL CENTER Outpatient | Bcbs Hmo | Commercial | — | $321.00 | $192.60 | 2026-07-15 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $1,771.00 | $1,239.70 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $1,771.00 | $1,239.70 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $1,771.00 | $1,239.70 | 2026-07-14 | 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 | $4,159.00 | $2,703.35 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,159.00 | $2,703.35 | 2025-01-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $21.80 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $21.92 | $586.00 | $586.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $21.92 | $586.00 | $586.00 | 2026-02-13 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $26.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $28.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $28.39 | $790.00 | $790.00 | 2026-06-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $28.39 | $790.00 | $790.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $28.39 | $586.00 | $586.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $28.39 | $586.00 | $586.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $28.39 | $586.00 | $586.00 | 2026-02-13 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID | HEALTH ALLIANCE MEDICAID | $28.39 | $586.00 | $586.00 | 2026-04-08 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $28.39 | $1,187.00 | $949.60 | 2026-02-23 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | MERIDIAN HP MCAID-ALL PLANS | MERIDIAN HP MCAID-ALL PLANS | $28.39 | $529.00 | $423.20 | 2026-07-07 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $28.39 | $790.00 | $790.00 | 2026-02-13 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | BLUE CROSS COMMUNITY CARE-ALL PLANS | BLUE CROSS COMMUNITY CARE-ALL PLANS | $28.39 | $586.00 | $586.00 | 2026-04-08 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $28.39 | $529.00 | $423.20 | 2026-07-07 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $28.39 | $790.00 | $790.00 | 2026-06-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MERIDIAN-ALL PLANS | MERIDIAN-ALL PLANS | $28.39 | $586.00 | $586.00 | 2026-04-08 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $28.39 | $586.00 | $586.00 | 2026-06-03 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AETNA BETTER HEALTH MCAID | AETNA BETTER HEALTH MCAID | $28.39 | $529.00 | $423.20 | 2026-07-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $28.39 | $1,024.00 | $921.60 | 2026-05-07 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $28.39 | $586.00 | $586.00 | 2026-06-03 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $28.39 | $790.00 | $790.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $28.39 | $586.00 | $586.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $28.39 | $790.00 | $790.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $28.39 | $586.00 | $586.00 | 2026-06-03 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MOLINA MEDICAID-ALL PLANS | MOLINA MEDICAID-ALL PLANS | $28.39 | $586.00 | $586.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | ILLINICARE - ALL PLANS | ILLINICARE - ALL PLANS | $28.39 | $586.00 | $586.00 | 2026-04-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $28.39 | $790.00 | $790.00 | 2026-06-08 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $28.39 | $1,187.00 | $949.60 | 2026-02-23 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS MEDICAID | BCBS MEDICAID | $28.39 | $1,024.00 | $921.60 | 2026-05-07 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $28.39 | $586.00 | $586.00 | 2026-06-03 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | MOLINA MCAID-ALL PLANS | MOLINA MCAID-ALL PLANS | $28.39 | $529.00 | $423.20 | 2026-07-07 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $28.39 | $790.00 | $790.00 | 2026-06-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $28.39 | $586.00 | $586.00 | 2026-04-08 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $28.91 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $30.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $567.00 | $425.25 | 2026-03-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $30.51 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $32.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $32.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $33.36 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $33.58 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $33.58 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $34.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $36.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $36.40 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $36.64 | $1,962.00 | $1,275.30 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $36.64 | $1,962.00 | $1,275.30 | 2025-01-01 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE InpatientFacility | Anthem | Medicare Advantage | — | $4,676.61 | $607.96 | 2026-02-03 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $37.05 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $37.40 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $37.40 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| LA PAZ REGIONAL HOSPITAL Both | Medicare | MC_1 | — | $3,556.00 | — | 2026-06-29 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $39.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $41.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $41.90 | $3,940.00 | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $41.90 | $3,940.00 | — | 2025-12-27 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $42.72 | $4,359.00 | $4,359.00 | 2026-06-05 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $43.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $44.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $45.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $45.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $245.83 | $147.50 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $245.83 | $147.50 | 2025-12-20 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $46.16 | $4,438.70 | $4,438.70 | 2026-04-24 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $47.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $47.40 | $316.00 | $237.00 | 2026-05-22 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $245.83 | $147.50 | 2025-12-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $48.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $48.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $49.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $50.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $723.00 | $723.00 | 2026-02-10 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $50.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $496.50 | $357.48 | 2026-05-04 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $51.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $51.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $496.50 | $357.48 | 2026-05-04 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $51.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $496.50 | $357.48 | 2026-05-04 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $51.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $52.70 | $2,065.00 | $1,239.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $52.70 | $2,065.00 | $1,239.00 | 2026-02-12 | MRF ↗ |
| FRANCES MAHON DEACONESS HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $53.00 | $578.00 | $520.20 | 2026-06-09 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $53.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $53.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $245.83 | $147.50 | 2025-12-20 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $55.35 | $1,060.00 | $3,145.74 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $55.92 | $400.00 | $80.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $55.92 | $400.00 | $76.00 | 2026-05-22 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $55.92 | $441.00 | $66.15 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $55.92 | $400.00 | $60.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $55.92 | $400.00 | $60.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $55.92 | $441.00 | $66.15 | 2026-07-15 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA HMO | CIGNA HMO | $55.92 | $441.00 | $66.15 | 2026-07-30 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vaccn Plan | Medicare | $55.98 | $917.00 | $917.00 | 2026-07-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $56.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $400.00 | $76.00 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $400.00 | $76.00 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $400.00 | $108.00 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $485.00 | $33.95 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $408.00 | $77.52 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $408.00 | $77.52 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $56.12 | $561.00 | $168.30 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $56.12 | $400.00 | $108.00 | 2026-01-31 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicare | Medicare | $57.75 | $231.00 | $115.50 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Va | Medicare | $57.75 | $231.00 | $115.50 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs Medicare | Medicare | $57.75 | $231.00 | $115.50 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $58.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $58.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $58.12 | $315.00 | $157.50 | 2026-04-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Allwell | Medicare | $58.91 | $231.00 | $115.50 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare | Medicare | $58.91 | $231.00 | $115.50 | 2026-07-15 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $59.00 | $253.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $60.00 | $253.00 | $126.00 | 2025-02-03 | 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.